Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.68 / $80.12 / $80.12	Facility	26	$57.68	$80.12	$80.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $130.56 / $332.98	Professional		$96.60	$130.56	$332.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.37 / $49.47 / $151.94	Professional	26	$22.37	$49.47	$151.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $245.42 / $684.33	Professional		$109.53	$245.42	$684.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.62 / $69.95 / $210.69	Professional	26	$24.62	$69.95	$210.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.02 / $116.89 / $155.35	Facility	26	$100.02	$116.89	$155.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $428.33 / $486.74	Professional		$108.18	$428.33	$486.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.78 / $133.66 / $151.88	Professional	26	$27.78	$133.66	$151.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $172.60 / $172.60 / $172.60	Facility	26	$172.60	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $281.77 / $810.58	Professional		$123.07	$281.77	$810.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $92.35 / $242.65	Professional	26	$38.90	$92.35	$242.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $102.63 / $248.09	Professional		$38.00	$102.63	$248.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $327.04 / $443.79	Professional		$234.00	$327.04	$443.79
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $172.60 / $172.60	Facility	26	$100.00	$172.60	$172.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $180.41 / $584.60 / $810.58	Professional		$180.41	$584.60	$810.58
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $56.30 / $200.45 / $242.65	Professional	26	$56.30	$200.45	$242.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $212.06 / $721.59 / $763.24	Professional		$212.06	$721.59	$763.24
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.31 / $79.97 / $181.50	Professional	26	$52.31	$79.97	$181.50
United Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $238.52 / $508.04	Professional		$123.07	$238.52	$508.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.82 / $73.54 / $149.34	Professional	26	$39.82	$73.54	$149.34