Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.75 / $88.34 / $88.34	Facility	26	$61.75	$88.34	$88.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $113.83 / $213.14	Professional		$92.02	$113.83	$213.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.93 / $41.87 / $85.14	Professional	26	$35.93	$41.87	$85.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $214.59 / $597.05	Professional		$98.67	$214.59	$597.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.84 / $90.04 / $250.17	Professional	26	$39.84	$90.04	$250.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.04 / $127.42 / $169.35	Facility	26	$109.04	$127.42	$169.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $385.13 / $437.65	Professional		$136.62	$385.13	$437.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.06 / $145.55 / $165.40	Professional	26	$46.06	$145.55	$165.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $189.21 / $189.21 / $189.21	Facility	26	$189.21	$189.21	$189.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $269.72 / $683.45	Professional		$110.86	$269.72	$683.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.52 / $108.30 / $282.35	Professional	26	$45.52	$108.30	$282.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $79.45 / $186.96	Professional		$38.20	$79.45	$186.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $217.75 / $264.25 / $383.47	Professional		$217.75	$264.25	$383.47
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $189.21 / $189.21	Facility	26	$100.00	$189.21	$189.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $518.70 / $683.45	Professional		$178.43	$518.70	$683.45
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $67.44 / $208.15 / $282.35	Professional	26	$67.44	$208.15	$282.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.94 / $628.86 / $686.24	Professional		$218.94	$628.86	$686.24
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $103.60 / $131.09 / $229.59	Professional	26	$103.60	$131.09	$229.59
United Facility/Professional Professional Modifier Low / Median / High Price $109.35 / $243.61 / $455.20	Professional		$109.35	$243.61	$455.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.22 / $95.25 / $182.67	Professional	26	$45.22	$95.25	$182.67