Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.65 / $47.45 / $47.45	Facility	26	$33.65	$47.45	$47.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $69.73 / $100.78	Professional		$39.75	$69.73	$100.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.01 / $26.82 / $47.45	Professional	26	$19.01	$26.82	$47.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $84.59 / $284.50	Professional		$44.99	$84.59	$284.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.71 / $37.79 / $137.58	Professional	26	$21.71	$37.79	$137.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.47 / $69.50 / $106.61	Facility	26	$59.47	$69.50	$106.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $164.69 / $187.15	Professional		$67.66	$164.69	$187.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $78.72 / $89.45	Professional	26	$32.13	$78.72	$89.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.10 / $113.10 / $113.10	Facility	26	$113.10	$113.10	$113.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $126.99 / $497.00	Professional		$56.23	$126.99	$497.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.93 / $56.93 / $320.31	Professional	26	$26.93	$56.93	$320.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $56.21 / $87.45	Professional		$21.18	$56.21	$87.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $133.28 / $302.70	Professional		$87.37	$133.28	$302.70
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $113.10 / $113.10	Facility	26	$100.00	$113.10	$113.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $236.01 / $497.00	Professional		$69.37	$236.01	$497.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $33.15 / $113.85 / $320.31	Professional	26	$33.15	$113.85	$320.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.61 / $293.45 / $293.45	Professional		$190.61	$293.45	$293.45
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.75 / $90.29 / $172.49	Professional	26	$76.75	$90.29	$172.49
United Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $110.43 / $205.36	Professional		$54.61	$110.43	$205.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.36 / $51.92 / $109.49	Professional	26	$26.36	$51.92	$109.49