Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.60 / $369.16 / $634.12	Professional		$331.60	$369.16	$634.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.80 / $170.92 / $932.08	Professional	26	$143.80	$170.92	$932.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.22 / $192.96 / $364.75	Professional	TC	$169.22	$192.96	$364.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.81 / $1,103.69 / $2,006.70	Professional		$173.81	$1,103.69	$2,006.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.73 / $518.69 / $843.71	Professional	26	$74.73	$518.69	$843.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.07 / $658.07 / $1,221.64	Professional	TC	$99.07	$658.07	$1,221.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,157.28 / $1,315.09 / $1,866.65	Facility		$1,157.28	$1,315.09	$1,866.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $541.26 / $615.07 / $873.03	Facility	26	$541.26	$615.07	$873.03
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $616.02 / $700.03 / $993.62	Facility	TC	$616.02	$700.03	$993.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $527.69 / $1,328.95	Professional		$326.16	$527.69	$1,328.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $246.22 / $636.95	Professional	26	$153.56	$246.22	$636.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $281.42 / $692.00	Professional	TC	$172.60	$281.42	$692.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $331.60 / $421.56 / $1,446.70	Facility		$331.60	$421.56	$1,446.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.60 / $637.29 / $1,834.94	Facility		$331.60	$637.29	$1,834.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $846.88 / $846.88 / $846.88	Facility	26	$846.88	$846.88	$846.88
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $1,452.72 / $1,452.72 / $1,452.72	Facility	TC	$1,452.72	$1,452.72	$1,452.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.80 / $557.92 / $5,718.36	Professional		$267.80	$557.92	$5,718.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $132.78 / $291.82 / $1,098.38	Professional	26	$132.78	$291.82	$1,098.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $134.82 / $385.62 / $2,229.25	Professional	TC	$134.82	$385.62	$2,229.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $209.57 / $428.50	Professional		$70.00	$209.57	$428.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $331.60 / $421.56 / $1,446.70	Facility		$331.60	$421.56	$1,446.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $591.84 / $845.34 / $1,244.61	Professional		$591.84	$845.34	$1,244.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $845.83 / $845.83 / $2,185.65	Facility		$845.83	$845.83	$2,185.65
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $335.28 / $335.28 / $846.88	Facility	26	$335.28	$335.28	$846.88
Quartz Facility/Professional Facility Modifier TC Low / Median / High Price $438.43 / $438.43 / $1,452.72	Facility	TC	$438.43	$438.43	$1,452.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $1,673.75 / $5,718.36	Professional		$326.16	$1,673.75	$5,718.36
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $906.55 / $1,098.38	Professional	26	$153.56	$906.55	$1,098.38
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $819.59 / $2,229.25	Professional	TC	$172.60	$819.59	$2,229.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.60 / $1,878.62 / $1,878.62	Professional		$1,168.60	$1,878.62	$1,878.62
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $136.74 / $450.38 / $710.81	Professional	26	$136.74	$450.38	$710.81
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $218.06 / $519.39 / $1,039.25	Professional	TC	$218.06	$519.39	$1,039.25
United Facility/Professional Professional Modifier Low / Median / High Price $267.80 / $353.31 / $1,339.35	Professional		$267.80	$353.31	$1,339.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $132.78 / $181.31 / $583.77	Professional	26	$132.78	$181.31	$583.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.75 / $183.58 / $840.02	Professional	TC	$122.75	$183.58	$840.02