Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $33.88 / $47.86	Facility	26	$33.88	$33.88	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $275.42	Professional		$93.33	$128.82	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.91 / $57.54	Professional	26	$18.20	$22.91	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $630.96	Professional		$117.49	$204.17	$630.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $34.67 / $120.23	Professional	26	$22.39	$34.67	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $70.79 / $112.20	Facility	26	$60.26	$70.79	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $288.40 / $549.54	Professional		$117.49	$288.40	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $48.98 / $93.33	Professional	26	$24.55	$48.98	$93.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $371.54	Professional		$245.47	$288.40	$371.54
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $51.29 / $63.10	Professional	26	$41.69	$51.29	$63.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $891.25	Professional		$120.23	$223.87	$891.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $48.98 / $186.21	Professional	26	$25.12	$48.98	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $338.84 / $467.74	Professional		$173.78	$338.84	$467.74
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $144.54 / $144.54	Facility	26	$100.00	$144.54	$144.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $616.60 / $891.25	Professional		$138.04	$616.60	$891.25
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $120.23 / $186.21	Professional	26	$28.84	$120.23	$186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $616.60 / $851.14	Professional		$239.88	$616.60	$851.14
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $66.07 / $109.65	Professional	26	$53.70	$66.07	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $398.11	Professional		$117.49	$173.78	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $37.15 / $81.28	Professional	26	$24.55	$37.15	$81.28