Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.88 / $47.99 / $47.99	Facility	26	$34.88	$47.99	$47.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $144.05 / $359.48	Professional		$101.56	$144.05	$359.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.56 / $23.60 / $59.98	Professional	26	$20.56	$23.60	$59.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $265.27 / $750.30	Professional		$115.76	$265.27	$750.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.50 / $51.51 / $143.49	Professional	26	$22.50	$51.51	$143.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.38 / $70.55 / $93.77	Facility	26	$60.38	$70.55	$93.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $473.56 / $538.14	Professional		$120.72	$473.56	$538.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.21 / $81.18 / $92.25	Professional	26	$27.21	$81.18	$92.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $110.00 / $110.00	Facility	26	$110.00	$110.00	$110.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $297.68 / $893.01	Professional		$129.91	$297.68	$893.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.26 / $62.64 / $188.00	Professional	26	$27.26	$62.64	$188.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $92.86 / $222.99	Professional		$58.04	$92.86	$222.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.05 / $386.60 / $471.32	Professional		$258.05	$386.60	$471.32
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $110.00 / $110.00	Facility	26	$100.00	$110.00	$110.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.45 / $617.60 / $893.01	Professional		$199.45	$617.60	$893.01
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $37.61 / $120.40 / $188.00	Professional	26	$37.61	$120.40	$188.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $237.31 / $779.03 / $843.83	Professional		$237.31	$779.03	$843.83
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.91 / $68.20 / $132.91	Professional	26	$53.91	$68.20	$132.91
United Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $284.54 / $541.33	Professional		$129.91	$284.54	$541.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.27 / $55.47 / $105.53	Professional	26	$26.27	$55.47	$105.53