Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.72 / $83.66 / $83.66	Facility	26	$59.72	$83.66	$83.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $138.69 / $225.99	Professional		$95.97	$138.69	$225.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.36 / $100.62 / $139.25	Professional	TC	$60.36	$100.62	$139.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $217.27 / $597.54	Professional		$104.78	$217.27	$597.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.64 / $138.41 / $381.20	Professional	TC	$63.64	$138.41	$381.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.53 / $122.15 / $162.35	Facility	26	$104.53	$122.15	$162.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $383.91 / $436.26	Professional		$146.33	$383.91	$436.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.94 / $244.26 / $277.56	Professional	TC	$90.94	$244.26	$277.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $180.13 / $180.13 / $180.13	Facility	26	$180.13	$180.13	$180.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $273.68 / $1,114.04	Professional		$116.71	$273.68	$1,114.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.67 / $160.87 / $909.46	Professional	TC	$67.67	$160.87	$909.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $80.11 / $186.96	Professional		$38.20	$80.11	$186.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $315.51 / $871.76	Professional		$210.60	$315.51	$871.76
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $180.13 / $180.13	Facility	26	$100.00	$180.13	$180.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $614.98 / $1,114.04	Professional		$161.69	$614.98	$1,114.04
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $102.87 / $487.91 / $909.46	Professional	TC	$102.87	$487.91	$909.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.57 / $684.04 / $684.04	Professional		$199.57	$684.04	$684.04
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $92.36 / $108.66 / $489.50	Professional	TC	$92.36	$108.66	$489.50
United Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $239.77 / $436.56	Professional		$111.17	$239.77	$436.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.31 / $141.30 / $276.20	Professional	TC	$65.31	$141.30	$276.20