Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.25 / $126.25 / $436.41	Facility	26	$126.25	$126.25	$436.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $348.98 / $462.71 / $821.12	Professional	TC	$348.98	$462.71	$821.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $356.18 / $611.44 / $1,833.49	Professional	TC	$356.18	$611.44	$1,833.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $309.08 / $361.19 / $554.07	Facility	26	$309.08	$361.19	$554.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $489.01 / $1,120.78 / $1,474.87	Professional	TC	$489.01	$1,120.78	$1,474.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $452.91 / $939.20 / $2,779.03	Professional	TC	$452.91	$939.20	$2,779.03
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $526.83 / $526.83 / $526.83	Facility	26	$526.83	$526.83	$526.83
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $585.19 / $1,951.70 / $2,779.03	Professional	TC	$585.19	$1,951.70	$2,779.03
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $531.41 / $941.04 / $1,190.70	Professional	TC	$531.41	$941.04	$1,190.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $432.43 / $833.69 / $1,507.06	Professional	TC	$432.43	$833.69	$1,507.06