Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $436.52	Facility	26	$125.89	$125.89	$436.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $426.58 / $575.44	Professional	TC	$323.59	$426.58	$575.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $616.60 / $1,479.11	Professional	TC	$380.19	$616.60	$1,479.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $363.08 / $575.44	Facility	26	$309.03	$363.08	$575.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $1,148.15 / $1,548.82	Professional	TC	$426.58	$1,148.15	$1,548.82
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $776.25 / $912.01 / $1,202.26	Professional	TC	$776.25	$912.01	$1,202.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $707.95 / $2,754.23	Professional	TC	$416.87	$707.95	$2,754.23
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $741.31	Facility	26	$269.15	$269.15	$741.31
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $1,949.84 / $2,754.23	Professional	TC	$467.74	$1,949.84	$2,754.23
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $933.25 / $1,202.26	Professional	TC	$537.03	$933.25	$1,202.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $645.65 / $1,380.38	Professional	TC	$416.87	$645.65	$1,380.38