Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.03 / $29.03 / $100.69	Facility	26	$29.03	$29.03	$100.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $178.41 / $322.98	Professional		$132.77	$178.41	$322.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.87 / $149.38 / $281.33	Professional	TC	$107.87	$149.38	$281.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $235.76 / $639.88	Professional		$119.00	$235.76	$639.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.28 / $197.41 / $533.53	Professional	TC	$91.28	$197.41	$533.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.09 / $84.24 / $129.22	Facility	26	$72.09	$84.24	$129.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $462.11 / $534.29	Professional		$120.23	$462.11	$534.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.29 / $393.37 / $499.71	Professional	TC	$160.29	$393.37	$499.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.39 / $315.50 / $964.87	Professional		$117.39	$315.50	$964.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $90.17 / $251.87 / $798.40	Professional	TC	$90.17	$251.87	$798.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $154.93 / $378.01	Professional		$50.00	$154.93	$378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.26 / $403.79 / $572.27	Professional		$246.26	$403.79	$572.27
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $121.12 / $121.12 / $121.12	Facility	26	$121.12	$121.12	$121.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $231.82 / $782.01 / $964.87	Professional		$231.82	$782.01	$964.87
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $205.93 / $665.69 / $798.40	Professional	TC	$205.93	$665.69	$798.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $334.66 / $548.52 / $933.33	Professional		$334.66	$548.52	$933.33
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $152.22 / $269.97 / $433.21	Professional	TC	$152.22	$269.97	$433.21
United Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $279.17 / $495.35	Professional		$124.16	$279.17	$495.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.38 / $232.67 / $391.45	Professional	TC	$92.38	$232.67	$391.45