Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.79 / $124.49 / $124.49	Facility	26	$89.79	$124.49	$124.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.53 / $236.35 / $460.14	Professional		$174.53	$236.35	$460.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.19 / $60.78 / $105.96	Professional	26	$45.19	$60.78	$105.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.85 / $458.52 / $1,328.27	Professional		$216.85	$458.52	$1,328.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.82 / $118.42 / $340.61	Professional	26	$51.82	$118.42	$340.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.88 / $182.17 / $242.12	Facility	26	$155.88	$182.17	$242.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.61 / $772.32 / $877.64	Professional		$220.61	$772.32	$877.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.43 / $208.78 / $237.25	Professional	26	$56.43	$208.78	$237.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $267.93 / $267.93 / $267.93	Facility	26	$267.93	$267.93	$267.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.20 / $516.82 / $1,471.51	Professional		$225.20	$516.82	$1,471.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.98 / $148.47 / $378.45	Professional	26	$63.98	$148.47	$378.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $161.53 / $377.33	Professional		$58.40	$161.53	$377.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $419.25 / $510.84 / $916.24	Professional		$419.25	$510.84	$916.24
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $141.83 / $267.93 / $267.93	Facility	26	$141.83	$267.93	$267.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $325.27 / $1,072.25 / $1,471.51	Professional		$325.27	$1,072.25	$1,471.51
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $87.93 / $309.60 / $378.45	Professional	26	$87.93	$309.60	$378.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $385.56 / $1,321.22 / $1,376.14	Professional		$385.56	$1,321.22	$1,376.14
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $109.38 / $156.47 / $281.52	Professional	26	$109.38	$156.47	$281.52
United Facility/Professional Professional Modifier Low / Median / High Price $225.20 / $407.46 / $939.83	Professional		$225.20	$407.46	$939.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.98 / $122.96 / $238.39	Professional	26	$63.98	$122.96	$238.39