Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $136.29 / $189.63 / $189.63	Facility	26	$136.29	$189.63	$189.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $232.26 / $456.49	Professional		$137.07	$232.26	$456.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $96.17 / $252.84	Professional	26	$77.76	$96.17	$252.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.85 / $355.90 / $968.79	Professional		$149.85	$355.90	$968.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.49 / $194.08 / $566.38	Professional	26	$86.49	$194.08	$566.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $236.09 / $275.89 / $366.69	Facility	26	$236.09	$275.89	$366.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.86 / $543.90 / $661.79	Professional		$220.86	$543.90	$661.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.20 / $318.00 / $361.36	Professional	26	$100.20	$318.00	$361.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $419.33 / $419.33 / $419.33	Facility	26	$419.33	$419.33	$419.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.67 / $512.91 / $3,391.09	Professional		$196.67	$512.91	$3,391.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $103.48 / $245.05 / $632.75	Professional	26	$103.48	$245.05	$632.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $123.69 / $265.88	Professional		$58.40	$123.69	$265.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $455.74 / $1,189.90	Professional		$304.20	$455.74	$1,189.90
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $216.03 / $419.33 / $419.33	Facility	26	$216.03	$419.33	$419.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $1,857.44 / $3,391.09	Professional		$258.64	$1,857.44	$3,391.09
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $147.33 / $471.25 / $632.75	Professional	26	$147.33	$471.25	$632.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $365.95 / $969.16 / $969.16	Professional		$365.95	$969.16	$969.16
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $190.17 / $240.62 / $473.71	Professional	26	$190.17	$240.62	$473.71
United Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $384.86 / $919.93	Professional		$176.74	$384.86	$919.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.95 / $217.11 / $386.99	Professional	26	$100.95	$217.11	$386.99