Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.20 / $44.20 / $61.18	Facility	26	$44.20	$44.20	$61.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $238.02 / $371.60	Professional		$159.55	$238.02	$371.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.76 / $44.20 / $175.55	Professional	26	$26.76	$44.20	$175.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.75 / $320.24 / $1,153.83	Professional		$203.75	$320.24	$1,153.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.52 / $45.03 / $159.26	Professional	26	$28.52	$45.03	$159.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.59 / $87.04 / $137.31	Facility	26	$76.59	$87.04	$137.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.18 / $725.55 / $824.49	Professional		$291.18	$725.55	$824.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $101.79 / $115.68	Professional	26	$42.14	$101.79	$115.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.77 / $408.29 / $1,397.49	Professional		$215.77	$408.29	$1,397.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.45 / $68.05 / $249.32	Professional	26	$33.45	$68.05	$249.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $159.05 / $377.33	Professional		$65.00	$159.05	$377.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $395.20 / $479.59 / $877.32	Professional		$395.20	$479.59	$877.32
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $131.69 / $131.69 / $131.69	Facility	26	$131.69	$131.69	$131.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $305.58 / $1,122.30 / $1,397.49	Professional		$305.58	$1,122.30	$1,397.49
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $42.87 / $153.00 / $249.32	Professional	26	$42.87	$153.00	$249.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $480.34 / $1,292.81 / $1,292.81	Professional		$480.34	$1,292.81	$1,292.81
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.48 / $103.10 / $165.87	Professional	26	$81.48	$103.10	$165.87
United Facility/Professional Professional Modifier Low / Median / High Price $213.61 / $291.80 / $983.70	Professional		$213.61	$291.80	$983.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $61.60 / $134.11	Professional	26	$33.40	$61.60	$134.11