Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.94 / $83.88 / $100.40	Facility	26	$72.94	$83.88	$100.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $135.69 / $221.13	Professional		$97.25	$135.69	$221.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $49.30 / $114.80	Professional	26	$32.40	$49.30	$114.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $247.92 / $679.08	Professional		$105.11	$247.92	$679.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.02 / $95.53 / $266.97	Professional	26	$34.02	$95.53	$266.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.16 / $147.41 / $195.94	Facility	26	$126.16	$147.41	$195.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.79 / $377.29 / $428.74	Professional		$108.79	$377.29	$428.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.71 / $169.40 / $192.50	Professional	26	$40.71	$169.40	$192.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $217.99 / $217.99 / $217.99	Facility	26	$217.99	$217.99	$217.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $259.23 / $803.00	Professional		$113.47	$259.23	$803.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.39 / $88.47 / $310.62	Professional	26	$38.39	$88.47	$310.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $80.11 / $186.96	Professional		$38.20	$80.11	$186.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $300.06 / $456.21	Professional		$206.70	$300.06	$456.21
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $115.08 / $217.99 / $217.99	Facility	26	$115.08	$217.99	$217.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $519.10 / $803.00	Professional		$158.91	$519.10	$803.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $71.34 / $207.14 / $310.62	Professional	26	$71.34	$207.14	$310.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $242.76 / $672.31 / $672.31	Professional		$242.76	$672.31	$672.31
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.79 / $75.56 / $231.52	Professional	26	$69.79	$75.56	$231.52
United Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $223.21 / $454.99	Professional		$110.70	$223.21	$454.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.43 / $76.69 / $146.77	Professional	26	$36.43	$76.69	$146.77