Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.18 / $125.91 / $125.91	Facility	26	$117.18	$125.91	$125.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $278.17 / $459.50	Professional		$199.44	$278.17	$459.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.89 / $67.40 / $134.22	Professional	26	$57.89	$67.40	$134.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.81 / $509.51 / $1,563.96	Professional		$199.81	$509.51	$1,563.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.59 / $139.31 / $457.94	Professional	26	$58.59	$139.31	$457.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $157.69 / $184.28 / $244.92	Facility	26	$157.69	$184.28	$244.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.51 / $717.27 / $815.08	Professional		$290.51	$717.27	$815.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.27 / $211.17 / $239.96	Professional	26	$69.27	$211.17	$239.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $565.04 / $565.04 / $565.04	Facility	26	$565.04	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.64 / $671.77 / $2,293.84	Professional		$267.64	$671.77	$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 $393.25 / $589.15 / $1,385.35	Professional		$393.25	$589.15	$1,385.35
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $143.44 / $565.04 / $565.04	Facility	26	$143.44	$565.04	$565.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.10 / $1,258.34 / $2,293.84	Professional		$302.10	$1,258.34	$2,293.84
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $88.94 / $313.14 / $523.40	Professional	26	$88.94	$313.14	$523.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $745.47 / $1,278.08 / $1,278.08	Professional		$745.47	$1,278.08	$1,278.08
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $209.56 / $218.48 / $342.43	Professional	26	$209.56	$218.48	$342.43
United Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $580.16 / $1,070.78	Professional		$244.46	$580.16	$1,070.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.36 / $146.16 / $311.73	Professional	26	$68.36	$146.16	$311.73