Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.68 / $148.68 / $163.96	Facility	26	$148.68	$148.68	$163.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.22 / $588.12 / $995.04	Professional		$454.22	$588.12	$995.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.77 / $140.00 / $189.00	Professional	26	$88.77	$140.00	$189.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.60 / $926.69 / $2,734.42	Professional		$414.60	$926.69	$2,734.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.31 / $155.90 / $454.33	Professional	26	$68.31	$155.90	$454.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $185.63 / $216.92 / $349.89	Facility	26	$185.63	$216.92	$349.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.51 / $1,497.68 / $1,701.91	Professional		$643.51	$1,497.68	$1,701.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.56 / $248.34 / $282.20	Professional	26	$105.56	$248.34	$282.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $454.49 / $899.22 / $2,775.50	Professional		$454.49	$899.22	$2,775.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.92 / $165.09 / $439.61	Professional	26	$75.92	$165.09	$439.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $309.55 / $841.96	Professional		$81.30	$309.55	$841.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $810.55 / $1,062.18 / $1,684.94	Professional		$810.55	$1,062.18	$1,684.94
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $661.44 / $661.44 / $661.44	Facility	26	$661.44	$661.44	$661.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.79 / $2,248.05 / $2,775.50	Professional		$630.79	$2,248.05	$2,775.50
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $104.59 / $361.50 / $439.61	Professional	26	$104.59	$361.50	$439.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,123.08 / $2,668.69 / $2,668.69	Professional		$2,123.08	$2,668.69	$2,668.69
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $303.45 / $405.95 / $446.51	Professional	26	$303.45	$405.95	$446.51
United Facility/Professional Professional Modifier Low / Median / High Price $466.03 / $1,143.13 / $1,970.42	Professional		$466.03	$1,143.13	$1,970.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.97 / $165.61 / $316.86	Professional	26	$73.97	$165.61	$316.86