Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.84 / $160.66 / $160.66	Facility	26	$114.84	$160.66	$160.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $199.89 / $366.64	Professional		$153.19	$199.89	$366.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $89.74 / $160.66	Professional	26	$67.59	$89.74	$160.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.27 / $262.37 / $981.14	Professional		$169.27	$262.37	$981.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $116.79 / $429.46	Professional	26	$74.09	$116.79	$429.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $201.85 / $235.88 / $361.84	Facility	26	$201.85	$235.88	$361.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.46 / $619.85 / $704.38	Professional		$189.46	$619.85	$704.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.03 / $268.50 / $305.11	Professional	26	$89.03	$268.50	$305.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $343.65 / $343.65 / $343.65	Facility	26	$343.65	$343.65	$343.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.16 / $356.72 / $1,115.94	Professional		$183.16	$356.72	$1,115.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.09 / $177.27 / $476.34	Professional	26	$83.09	$177.27	$476.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $173.21 / $368.54	Professional		$65.00	$173.21	$368.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.58 / $413.33 / $749.51	Professional		$228.58	$413.33	$749.51
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $182.40 / $343.65 / $343.65	Facility	26	$182.40	$343.65	$343.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $261.07 / $856.85 / $1,115.94	Professional		$261.07	$856.85	$1,115.94
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $113.09 / $388.75 / $476.34	Professional	26	$113.09	$388.75	$476.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $476.63 / $1,104.49 / $1,104.49	Professional		$476.63	$1,104.49	$1,104.49
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $226.82 / $242.76 / $424.60	Professional	26	$226.82	$242.76	$424.60
United Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $302.29 / $675.71	Professional		$179.00	$302.29	$675.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.64 / $146.86 / $318.77	Professional	26	$81.64	$146.86	$318.77