Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.45 / $64.45 / $90.20	Facility	26	$64.45	$64.45	$90.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.10 / $310.61 / $1,319.25	Professional		$180.10	$310.61	$1,319.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.66 / $246.16 / $1,062.72	Professional	TC	$141.66	$246.16	$1,062.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $331.94 / $1,124.95	Professional		$200.40	$331.94	$1,124.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.81 / $264.95 / $890.87	Professional	TC	$158.81	$264.95	$890.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.64 / $128.00 / $201.92	Facility	26	$112.64	$128.00	$201.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.12 / $721.64 / $820.05	Professional		$293.12	$721.64	$820.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.97 / $571.38 / $649.29	Professional	TC	$230.97	$571.38	$649.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.49 / $499.45 / $1,396.18	Professional		$242.49	$499.45	$1,396.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $190.05 / $399.92 / $1,165.91	Professional	TC	$190.05	$399.92	$1,165.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $159.05 / $377.33	Professional		$65.00	$159.05	$377.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $397.80 / $595.97 / $872.60	Professional		$397.80	$595.97	$872.60
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $198.60 / $198.60 / $198.60	Facility	26	$198.60	$198.60	$198.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $303.94 / $1,093.65 / $1,396.18	Professional		$303.94	$1,093.65	$1,396.18
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $240.66 / $869.40 / $1,165.91	Professional	TC	$240.66	$869.40	$1,165.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $542.50 / $1,285.88 / $1,285.88	Professional		$542.50	$1,285.88	$1,285.88
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $411.55 / $484.18 / $1,043.95	Professional	TC	$411.55	$484.18	$1,043.95
United Facility/Professional Professional Modifier Low / Median / High Price $231.95 / $466.72 / $958.58	Professional		$231.95	$466.72	$958.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $184.42 / $353.90 / $767.92	Professional	TC	$184.42	$353.90	$767.92