Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.72 / $177.32 / $177.32	Facility	26	$164.72	$177.32	$177.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $474.06 / $891.90	Professional		$256.10	$474.06	$891.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.27 / $111.69 / $470.00	Professional	26	$81.27	$111.69	$470.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.48 / $707.19 / $2,352.88	Professional		$298.48	$707.19	$2,352.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.36 / $195.82 / $646.50	Professional	26	$82.36	$195.82	$646.50
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 $407.32 / $1,071.10 / $1,217.18	Professional		$407.32	$1,071.10	$1,217.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.32 / $296.14 / $336.53	Professional	26	$97.32	$296.14	$336.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $792.40 / $792.40 / $792.40	Facility	26	$792.40	$792.40	$792.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.50 / $859.29 / $2,854.54	Professional		$380.50	$859.29	$2,854.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $101.37 / $233.23 / $536.20	Professional	26	$101.37	$233.23	$536.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $188.32 / $483.77	Professional		$80.83	$188.32	$483.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.25 / $743.10 / $1,295.17	Professional		$588.25	$743.10	$1,295.17
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $201.18 / $792.40 / $792.40	Facility	26	$201.18	$792.40	$792.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $451.12 / $1,572.65 / $2,854.54	Professional		$451.12	$1,572.65	$2,854.54
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $124.72 / $441.45 / $536.20	Professional	26	$124.72	$441.45	$536.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.73 / $1,640.47 / $1,640.47	Professional		$1,031.73	$1,640.47	$1,640.47
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $273.11 / $296.41 / $484.86	Professional	26	$273.11	$296.41	$484.86
United Facility/Professional Professional Modifier Low / Median / High Price $355.97 / $774.50 / $1,389.60	Professional		$355.97	$774.50	$1,389.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.75 / $220.73 / $515.75	Professional	26	$97.75	$220.73	$515.75