Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.41 / $194.15 / $194.15	Facility	26	$139.41	$194.15	$194.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.26 / $251.29 / $419.56	Professional		$150.26	$251.29	$419.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.43 / $95.45 / $434.00	Professional	26	$52.43	$95.45	$434.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.53 / $336.34 / $984.27	Professional		$164.53	$336.34	$984.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.90 / $169.11 / $506.40	Professional	26	$54.90	$169.11	$506.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $240.60 / $281.16 / $373.68	Facility	26	$240.60	$281.16	$373.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.41 / $594.50 / $675.56	Professional		$239.41	$594.50	$675.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.98 / $322.86 / $366.89	Professional	26	$65.98	$322.86	$366.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $423.87 / $423.87 / $423.87	Facility	26	$423.87	$423.87	$423.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.28 / $499.87 / $3,093.52	Professional		$206.28	$499.87	$3,093.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $93.59 / $221.77 / $676.01	Professional	26	$93.59	$221.77	$676.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $133.90 / $321.50	Professional		$58.40	$133.90	$321.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $332.80 / $498.59 / $1,294.34	Professional		$332.80	$498.59	$1,294.34
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $219.33 / $423.87 / $423.87	Facility	26	$219.33	$423.87	$423.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,684.98 / $3,093.52	Professional		$275.42	$1,684.98	$3,093.52
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $135.97 / $481.35 / $676.01	Professional	26	$135.97	$481.35	$676.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $322.25 / $1,019.92 / $1,059.29	Professional		$322.25	$1,019.92	$1,059.29
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $121.31 / $214.20 / $436.72	Professional	26	$121.31	$214.20	$436.72
United Facility/Professional Professional Modifier Low / Median / High Price $201.05 / $445.76 / $962.02	Professional		$201.05	$445.76	$962.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.79 / $156.30 / $358.62	Professional	26	$95.79	$156.30	$358.62