Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.61 / $51.57 / $51.57	Facility	26	$36.61	$51.57	$51.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.28 / $115.63 / $244.60	Professional		$67.28	$115.63	$244.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $36.61 / $127.50	Professional	26	$17.39	$36.61	$127.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $195.81 / $581.78	Professional		$74.59	$195.81	$581.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.63 / $48.31 / $140.49	Professional	26	$23.63	$48.31	$140.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $64.09 / $106.01	Professional		$27.36	$64.09	$106.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.98 / $74.77 / $99.37	Facility	26	$63.98	$74.77	$99.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $274.76 / $312.23	Professional		$112.46	$274.76	$312.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $85.60 / $97.28	Professional	26	$20.74	$85.60	$97.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.49 / $110.49 / $435.00	Facility	26	$110.49	$110.49	$435.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $243.88 / $676.85	Professional		$85.82	$243.88	$676.85
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.97 / $59.08 / $153.55	Professional	26	$25.97	$59.08	$153.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $79.45 / $186.31	Professional		$38.00	$79.45	$186.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $227.87 / $367.38	Professional		$152.10	$227.87	$367.38
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $110.49 / $110.49	Facility	26	$100.00	$110.49	$110.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.30 / $371.04 / $676.85	Professional		$127.30	$371.04	$676.85
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $36.06 / $125.80 / $153.55	Professional	26	$36.06	$125.80	$153.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $305.24 / $489.58 / $489.58	Professional		$305.24	$489.58	$489.58
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.00 / $60.69 / $115.28	Professional	26	$39.00	$60.69	$115.28
United Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $193.10 / $550.25	Professional		$79.70	$193.10	$550.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.96 / $51.58 / $95.83	Professional	26	$24.96	$51.58	$95.83