Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.15 / $56.15 / $78.68	Facility	26	$56.15	$56.15	$78.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $306.83 / $1,427.00	Professional		$149.37	$306.83	$1,427.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $56.15 / $205.00	Professional	26	$34.96	$56.15	$205.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.29 / $439.04 / $1,481.23	Professional		$263.29	$439.04	$1,481.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $57.18 / $203.52	Professional	26	$36.22	$57.18	$203.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.22 / $111.62 / $176.08	Facility	26	$98.22	$111.62	$176.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.18 / $944.59 / $1,073.40	Professional		$380.18	$944.59	$1,073.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.21 / $131.27 / $149.18	Professional	26	$54.21	$131.27	$149.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $557.30 / $1,791.90	Professional		$222.40	$557.30	$1,791.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.05 / $87.84 / $258.60	Professional	26	$42.05	$87.84	$258.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $214.57 / $498.31	Professional		$65.00	$214.57	$498.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $472.24 / $626.30 / $919.51	Professional		$472.24	$626.30	$919.51
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $172.44 / $172.44 / $172.44	Facility	26	$172.44	$172.44	$172.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $397.83 / $1,450.45 / $1,791.90	Professional		$397.83	$1,450.45	$1,791.90
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $55.29 / $192.35 / $258.60	Professional	26	$55.29	$192.35	$258.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $717.26 / $1,683.13 / $1,683.13	Professional		$717.26	$1,683.13	$1,683.13
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $103.11 / $121.38 / $209.67	Professional	26	$103.11	$121.38	$209.67
United Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $557.30 / $1,271.32	Professional		$222.40	$557.30	$1,271.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.99 / $77.89 / $168.60	Professional	26	$41.99	$77.89	$168.60