Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $19.00 / $32.64	Professional		$14.17	$19.00	$32.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.64 / $10.74 / $14.87	Professional	TC	$6.64	$10.74	$14.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $35.26 / $98.22	Professional		$15.63	$35.26	$98.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.51 / $16.50 / $45.97	Professional	TC	$7.51	$16.50	$45.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $57.96 / $65.86	Professional		$24.43	$57.96	$65.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.50 / $28.56 / $32.45	Professional	TC	$12.50	$28.56	$32.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $45.09 / $206.87	Professional		$18.97	$45.09	$206.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $23.94 / $125.44	Professional	TC	$9.18	$23.94	$125.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.08 / $50.00 / $70.00	Professional		$16.08	$50.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $48.64 / $70.09	Professional		$34.45	$48.64	$70.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $83.20 / $206.87	Professional		$27.57	$83.20	$206.87
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $13.57 / $45.39 / $125.44	Professional	TC	$13.57	$45.39	$125.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $103.33 / $103.33	Professional		$42.11	$103.33	$103.33
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.16 / $20.19 / $66.81	Professional	TC	$17.16	$20.19	$66.81
United Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $40.83 / $73.02	Professional		$18.19	$40.83	$73.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.44 / $19.89 / $35.81	Professional	TC	$8.44	$19.89	$35.81