Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.94 / $60.94 / $208.84	Facility	26	$60.94	$60.94	$208.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.31 / $427.98 / $769.30	Professional		$316.31	$427.98	$769.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $370.68 / $682.22	Professional	TC	$264.98	$370.68	$682.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.73 / $592.39 / $1,688.70	Professional		$249.73	$592.39	$1,688.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $198.75 / $511.87 / $1,520.19	Professional	TC	$198.75	$511.87	$1,520.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.68 / $173.75 / $266.54	Facility	26	$148.68	$173.75	$266.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.08 / $1,048.98 / $1,406.38	Professional		$449.08	$1,048.98	$1,406.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $388.67 / $906.16 / $1,225.19	Professional	TC	$388.67	$906.16	$1,225.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $318.24 / $913.24 / $2,673.66	Professional		$318.24	$913.24	$2,673.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $237.23 / $780.77 / $2,317.40	Professional	TC	$237.23	$780.77	$2,317.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $294.87 / $774.03	Professional		$55.67	$294.87	$774.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $580.24 / $963.27 / $1,353.33	Professional		$580.24	$963.27	$1,353.33
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $347.00 / $347.00 / $347.00	Facility	26	$347.00	$347.00	$347.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $594.87 / $1,897.75 / $2,673.66	Professional		$594.87	$1,897.75	$2,673.66
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $540.48 / $1,610.90 / $2,317.40	Professional	TC	$540.48	$1,610.90	$2,317.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $782.44 / $1,594.12 / $2,118.69	Professional		$782.44	$1,594.12	$2,118.69
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $443.18 / $775.67 / $1,103.05	Professional	TC	$443.18	$775.67	$1,103.05
United Facility/Professional Professional Modifier Low / Median / High Price $343.79 / $727.56 / $1,423.31	Professional		$343.79	$727.56	$1,423.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $266.89 / $646.20 / $1,243.90	Professional	TC	$266.89	$646.20	$1,243.90