Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.74 / $176.74 / $197.54	Facility	26	$176.74	$176.74	$197.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.89 / $475.00 / $868.87	Professional		$290.89	$475.00	$868.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.39 / $140.36 / $499.00	Professional	26	$86.39	$140.36	$499.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.36 / $664.43 / $2,169.69	Professional		$275.36	$664.43	$2,169.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.31 / $195.71 / $643.51	Professional	26	$82.31	$195.71	$643.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $221.68 / $259.05 / $344.29	Facility	26	$221.68	$259.05	$344.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.15 / $987.32 / $1,121.95	Professional		$398.15	$987.32	$1,121.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.07 / $295.56 / $335.86	Professional	26	$105.07	$295.56	$335.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.76 / $789.76 / $789.76	Facility	26	$789.76	$789.76	$789.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.51 / $947.86 / $3,480.43	Professional		$388.51	$947.86	$3,480.43
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $105.47 / $240.70 / $701.72	Professional	26	$105.47	$240.70	$701.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $190.52 / $494.25	Professional		$80.47	$190.52	$494.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $538.85 / $807.28 / $1,882.91	Professional		$538.85	$807.28	$1,882.91
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $200.78 / $789.76 / $789.76	Facility	26	$200.78	$789.76	$789.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $415.83 / $1,908.51 / $3,480.43	Professional		$415.83	$1,908.51	$3,480.43
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $124.48 / $439.45 / $701.72	Professional	26	$124.48	$439.45	$701.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.31 / $1,759.26 / $2,410.48	Professional		$1,619.31	$1,759.26	$2,410.48
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $364.14 / $518.99 / $639.59	Professional	26	$364.14	$518.99	$639.59
United Facility/Professional Professional Modifier Low / Median / High Price $345.26 / $800.03 / $1,529.48	Professional		$345.26	$800.03	$1,529.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.19 / $223.46 / $385.18	Professional	26	$100.19	$223.46	$385.18