Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.54 / $125.21 / $125.21	Facility	26	$116.54	$125.21	$125.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $354.90 / $438.24	Professional		$197.54	$354.90	$438.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.98 / $77.33 / $127.86	Professional	26	$57.98	$77.33	$127.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.88 / $504.58 / $1,557.20	Professional		$197.88	$504.58	$1,557.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.27 / $138.54 / $458.71	Professional	26	$58.27	$138.54	$458.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.79 / $183.23 / $243.52	Facility	26	$156.79	$183.23	$243.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $712.59 / $809.76	Professional		$287.14	$712.59	$809.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.27 / $209.99 / $238.63	Professional	26	$69.27	$209.99	$238.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.23 / $670.74 / $2,293.84	Professional		$267.23	$670.74	$2,293.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.45 / $165.44 / $523.40	Professional	26	$71.45	$165.44	$523.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $157.40 / $377.33	Professional		$58.40	$157.40	$377.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $388.70 / $582.33 / $1,142.33	Professional		$388.70	$582.33	$1,142.33
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $142.65 / $561.91 / $561.91	Facility	26	$142.65	$561.91	$561.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $300.12 / $1,258.34 / $2,293.84	Professional		$300.12	$1,258.34	$2,293.84
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $88.45 / $313.14 / $523.40	Professional	26	$88.45	$313.14	$523.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $873.59 / $1,269.75 / $1,269.75	Professional		$873.59	$1,269.75	$1,269.75
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $178.13 / $209.56 / $342.43	Professional	26	$178.13	$209.56	$342.43
United Facility/Professional Professional Modifier Low / Median / High Price $242.87 / $588.25 / $1,071.76	Professional		$242.87	$588.25	$1,071.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.36 / $146.16 / $311.73	Professional	26	$68.36	$146.16	$311.73