Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.11 / $18.23 / $18.23	Facility	26	$13.11	$18.23	$18.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $37.08 / $98.43	Professional		$28.01	$37.08	$98.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $9.82 / $19.44	Professional	26	$7.82	$9.82	$19.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $68.18 / $193.69	Professional		$31.14	$68.18	$193.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $19.54 / $54.44	Professional	26	$8.46	$19.54	$54.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.53 / $26.33 / $34.99	Facility	26	$22.53	$26.33	$34.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $121.33 / $137.88	Professional		$33.03	$121.33	$137.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.93 / $30.66 / $34.84	Professional	26	$9.93	$30.66	$34.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $80.18 / $233.00	Professional		$34.35	$80.18	$233.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $23.44 / $97.41	Professional	26	$10.11	$23.44	$97.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $33.89 / $74.33	Professional		$19.34	$33.89	$74.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $93.06 / $130.19	Professional		$66.95	$93.06	$130.19
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $160.35 / $233.00	Professional		$52.99	$160.35	$233.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $14.21 / $45.05 / $97.41	Professional	26	$14.21	$45.05	$97.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $196.69 / $216.19	Professional		$58.88	$196.69	$216.19
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $25.38 / $51.33	Professional	26	$20.05	$25.38	$51.33
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $71.20 / $140.55	Professional		$33.92	$71.20	$140.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.34 / $19.37 / $37.34	Professional	26	$9.34	$19.37	$37.34