Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.72 / $82.96 / $82.96	Facility	26	$59.72	$82.96	$82.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.12 / $139.77 / $227.92	Professional		$97.12	$139.77	$227.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.60 / $40.65 / $82.96	Professional	26	$35.60	$40.65	$82.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $231.59 / $616.23	Professional		$105.82	$231.59	$616.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.53 / $89.99 / $248.64	Professional	26	$38.53	$89.99	$248.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.63 / $121.10 / $160.94	Facility	26	$103.63	$121.10	$160.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $392.12 / $445.59	Professional		$147.53	$392.12	$445.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.75 / $138.47 / $157.36	Professional	26	$46.75	$138.47	$157.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $178.64 / $178.64 / $178.64	Facility	26	$178.64	$178.64	$178.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $302.37 / $1,963.99	Professional		$120.84	$302.37	$1,963.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.67 / $108.78 / $549.82	Professional	26	$45.67	$108.78	$549.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $80.11 / $188.51	Professional		$38.20	$80.11	$188.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $215.80 / $323.30 / $1,519.70	Professional		$215.80	$323.30	$1,519.70
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $178.64 / $178.64	Facility	26	$100.00	$178.64	$178.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.15 / $1,071.13 / $1,963.99	Professional		$165.15	$1,071.13	$1,963.99
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $64.15 / $209.20 / $549.82	Professional	26	$64.15	$209.20	$549.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $210.61 / $698.71 / $698.71	Professional		$210.61	$698.71	$698.71
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $94.33 / $119.36 / $239.96	Professional	26	$94.33	$119.36	$239.96
United Facility/Professional Professional Modifier Low / Median / High Price $113.23 / $269.36 / $581.52	Professional		$113.23	$269.36	$581.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.82 / $98.25 / $183.37	Professional	26	$44.82	$98.25	$183.37