Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.29 / $119.95 / $119.95	Facility	26	$112.29	$119.95	$119.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.13 / $349.00 / $669.81	Professional		$226.13	$349.00	$669.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $62.45 / $159.93	Professional	26	$52.46	$62.45	$159.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.13 / $600.30 / $1,988.36	Professional		$251.13	$600.30	$1,988.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.15 / $133.50 / $439.54	Professional	26	$56.15	$133.50	$439.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.49 / $175.86 / $233.73	Facility	26	$150.49	$175.86	$233.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.71 / $898.33 / $1,020.83	Professional		$352.71	$898.33	$1,020.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.97 / $201.12 / $228.55	Professional	26	$66.97	$201.12	$228.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $537.20 / $537.20 / $537.20	Facility	26	$537.20	$537.20	$537.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.91 / $713.91 / $2,077.23	Professional		$321.91	$713.91	$2,077.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.63 / $158.87 / $394.61	Professional	26	$68.63	$158.87	$394.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $182.56 / $440.03	Professional		$58.40	$182.56	$440.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $486.85 / $729.38 / $1,175.93	Professional		$486.85	$729.38	$1,175.93
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $136.63 / $537.20 / $537.20	Facility	26	$136.63	$537.20	$537.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $378.35 / $1,187.15 / $2,077.23	Professional		$378.35	$1,187.15	$2,077.23
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $84.71 / $300.70 / $394.61	Professional	26	$84.71	$300.70	$394.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $761.78 / $1,473.27 / $1,473.27	Professional		$761.78	$1,473.27	$1,473.27
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $201.29 / $212.42 / $328.88	Professional	26	$201.29	$212.42	$328.88
United Facility/Professional Professional Modifier Low / Median / High Price $305.98 / $649.80 / $1,175.65	Professional		$305.98	$649.80	$1,175.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.65 / $137.84 / $263.56	Professional	26	$65.65	$137.84	$263.56