Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.54 / $48.69 / $48.69	Facility	26	$34.54	$48.69	$48.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.01 / $149.87 / $286.02	Professional		$117.01	$149.87	$286.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.28 / $126.49 / $237.17	Professional	TC	$94.28	$126.49	$237.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $273.52 / $775.68	Professional		$119.46	$273.52	$775.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.59 / $227.28 / $649.45	Professional	TC	$93.59	$227.28	$649.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.38 / $70.55 / $93.77	Facility	26	$60.38	$70.55	$93.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.89 / $497.78 / $565.66	Professional		$126.89	$497.78	$565.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.59 / $417.00 / $473.86	Professional	TC	$100.59	$417.00	$473.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.46 / $104.46 / $104.46	Facility	26	$104.46	$104.46	$104.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.02 / $302.62 / $923.37	Professional		$133.02	$302.62	$923.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $107.32 / $245.41 / $778.42	Professional	TC	$107.32	$245.41	$778.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $119.35 / $252.30	Professional		$65.00	$119.35	$252.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $271.05 / $328.93 / $477.39	Professional		$271.05	$328.93	$477.39
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $104.46 / $104.46	Facility	26	$100.00	$104.46	$104.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $209.65 / $627.85 / $923.37	Professional		$209.65	$627.85	$923.37
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $175.63 / $509.90 / $778.42	Professional	TC	$175.63	$509.90	$778.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $234.26 / $804.40 / $886.96	Professional		$234.26	$804.40	$886.96
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $163.86 / $180.35 / $534.47	Professional	TC	$163.86	$180.35	$534.47
United Facility/Professional Professional Modifier Low / Median / High Price $132.09 / $264.29 / $492.27	Professional		$132.09	$264.29	$492.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.11 / $176.46 / $398.28	Professional	TC	$107.11	$176.46	$398.28