Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.75 / $86.38 / $153.94	Facility	26	$38.75	$86.38	$153.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $87.67 / $290.94	Professional		$74.81	$87.67	$290.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.75 / $40.95 / $228.12	Professional	26	$38.75	$40.95	$228.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $218.86 / $620.88	Professional		$75.70	$218.86	$620.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.77 / $115.37 / $312.12	Professional	26	$41.77	$115.37	$312.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.23 / $125.31 / $202.12	Facility	26	$107.23	$125.31	$202.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.55 / $321.82 / $365.70	Professional		$160.55	$321.82	$365.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.84 / $161.80 / $183.86	Professional	26	$79.84	$161.80	$183.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $250.62 / $575.49	Professional		$91.16	$250.62	$575.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.99 / $138.63 / $320.32	Professional	26	$49.99	$138.63	$320.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $71.18 / $214.81	Professional		$26.80	$71.18	$214.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $265.00 / $352.44	Professional		$172.25	$265.00	$352.44
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $210.41 / $210.41 / $210.41	Facility	26	$210.41	$210.41	$210.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $402.68 / $618.72	Professional		$161.68	$402.68	$618.72
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $206.30 / $320.32	Professional	26	$81.28	$206.30	$320.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $278.54 / $481.88 / $481.88	Professional		$278.54	$481.88	$481.88
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $134.22 / $158.54 / $237.32	Professional	26	$134.22	$158.54	$237.32
United Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $172.01 / $378.83	Professional		$89.19	$172.01	$378.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.51 / $137.71 / $208.51	Professional	26	$49.51	$137.71	$208.51