Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.74 / $74.68 / $74.68	Facility	26	$53.74	$74.68	$74.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $65.43 / $118.80	Professional		$49.13	$65.43	$118.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.14 / $41.28 / $74.68	Professional	26	$30.14	$41.28	$74.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.38 / $106.50 / $349.36	Professional		$55.38	$106.50	$349.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $62.81 / $218.91	Professional	26	$34.67	$62.81	$218.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.07 / $169.81 / $524.04	Professional	50	$83.07	$169.81	$524.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.62 / $110.57 / $169.61	Facility	26	$94.62	$110.57	$169.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $202.30 / $229.89	Professional		$84.50	$202.30	$229.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.45 / $125.72 / $142.86	Professional	26	$51.45	$125.72	$142.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $198.30 / $198.30 / $198.30	Facility	26	$198.30	$198.30	$198.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $164.39 / $696.80	Professional		$72.79	$164.39	$696.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.07 / $93.44 / $305.45	Professional	26	$43.07	$93.44	$305.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $61.81 / $132.11	Professional		$25.84	$61.81	$132.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $160.88 / $318.12	Professional		$105.47	$160.88	$318.12
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $198.30 / $198.30	Facility	26	$100.00	$198.30	$198.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $394.86 / $696.80	Professional		$85.21	$394.86	$696.80
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $52.94 / $179.45 / $305.45	Professional	26	$52.94	$179.45	$305.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $248.49 / $360.52 / $369.90	Professional		$248.49	$360.52	$369.90
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $132.06 / $155.36 / $295.86	Professional	26	$132.06	$155.36	$295.86
United Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $153.27 / $291.69	Professional		$68.30	$153.27	$291.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $82.32 / $157.29	Professional	26	$40.90	$82.32	$157.29