Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.98 / $143.06 / $143.06	Facility	26	$100.98	$143.06	$143.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $114.67 / $201.11	Professional		$83.08	$114.67	$201.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.95 / $76.81 / $230.65	Professional	26	$58.95	$76.81	$230.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $198.12 / $579.13	Professional		$91.01	$198.12	$579.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.15 / $147.55 / $427.92	Professional	26	$65.15	$147.55	$427.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.32 / $209.55 / $338.00	Facility	26	$179.32	$209.55	$338.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $334.24 / $379.81	Professional		$145.15	$334.24	$379.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.56 / $237.70 / $270.11	Professional	26	$98.56	$237.70	$270.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $238.31 / $602.86	Professional		$104.15	$238.31	$602.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.59 / $153.76 / $496.08	Professional	26	$71.59	$153.76	$496.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $64.19 / $139.02	Professional		$28.81	$64.19	$139.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $270.50 / $412.87	Professional		$185.90	$270.50	$412.87
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $305.79 / $305.79 / $305.79	Facility	26	$305.79	$305.79	$305.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.77 / $877.10 / $1,748.00	Professional		$140.77	$877.10	$1,748.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $100.11 / $337.20 / $496.08	Professional	26	$100.11	$337.20	$496.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $256.74 / $595.58 / $595.58	Professional		$256.74	$595.58	$595.58
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $194.26 / $236.69 / $364.72	Professional	26	$194.26	$236.69	$364.72
United Facility/Professional Professional Modifier Low / Median / High Price $98.86 / $208.69 / $503.75	Professional		$98.86	$208.69	$503.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.65 / $153.76 / $324.29	Professional	26	$69.65	$153.76	$324.29