Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.45 / $62.51 / $62.51	Facility	26	$44.45	$62.51	$62.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.77 / $137.44 / $223.63	Professional		$110.77	$137.44	$223.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $30.17 / $58.15	Professional	26	$25.03	$30.17	$58.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $282.62 / $806.27	Professional		$123.11	$282.62	$806.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.02 / $60.57 / $170.02	Professional	26	$28.02	$60.57	$170.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $184.66 / $473.92 / $1,290.88	Professional	50	$184.66	$473.92	$1,290.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.30 / $92.67 / $123.16	Facility	26	$79.30	$92.67	$123.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $386.97 / $439.74	Professional		$142.41	$386.97	$439.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $105.18 / $119.53	Professional	26	$30.82	$105.18	$119.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $137.78 / $137.78 / $137.78	Facility	26	$137.78	$137.78	$137.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.46 / $326.68 / $963.76	Professional		$140.46	$326.68	$963.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.38 / $72.67 / $236.11	Professional	26	$31.38	$72.67	$236.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $101.89 / $248.09	Professional		$38.20	$101.89	$248.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $209.95 / $314.54 / $467.92	Professional		$209.95	$314.54	$467.92
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $137.78 / $137.78	Facility	26	$100.00	$137.78	$137.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $655.75 / $963.76	Professional		$183.90	$655.75	$963.76
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $47.83 / $139.75 / $236.11	Professional	26	$47.83	$139.75	$236.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $220.24 / $689.51 / $745.18	Professional		$220.24	$689.51	$745.18
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.31 / $77.58 / $157.99	Professional	26	$61.31	$77.58	$157.99
United Facility/Professional Professional Modifier Low / Median / High Price $132.61 / $273.01 / $517.28	Professional		$132.61	$273.01	$517.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.56 / $63.99 / $122.49	Professional	26	$30.56	$63.99	$122.49