Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.50 / $98.50 / $135.86	Facility	26	$98.50	$98.50	$135.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.86 / $400.14 / $1,813.66	Professional		$331.86	$400.14	$1,813.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.90 / $77.37 / $332.00	Professional	26	$59.90	$77.37	$332.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.68 / $540.71 / $1,872.81	Professional		$332.68	$540.71	$1,872.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.55 / $99.98 / $353.82	Professional	26	$63.55	$99.98	$353.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $170.31 / $193.54 / $305.31	Facility	26	$170.31	$193.54	$305.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.83 / $1,185.82 / $1,347.53	Professional		$476.83	$1,185.82	$1,347.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.59 / $227.91 / $258.99	Professional	26	$93.59	$227.91	$258.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $707.34 / $2,260.82	Professional		$381.36	$707.34	$2,260.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.84 / $153.47 / $603.00	Professional	26	$73.84	$153.47	$603.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $247.25 / $564.07	Professional		$65.14	$247.25	$564.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $499.79 / $784.07 / $1,128.79	Professional		$499.79	$784.07	$1,128.79
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $295.52 / $295.52 / $295.52	Facility	26	$295.52	$295.52	$295.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $499.44 / $1,799.75 / $2,260.82	Professional		$499.44	$1,799.75	$2,260.82
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $95.99 / $337.80 / $603.00	Professional	26	$95.99	$337.80	$603.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $871.43 / $2,112.98 / $2,112.98	Professional		$871.43	$2,112.98	$2,112.98
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $179.57 / $227.21 / $369.82	Professional	26	$179.57	$227.21	$369.82
United Facility/Professional Professional Modifier Low / Median / High Price $380.77 / $674.43 / $1,577.48	Professional		$380.77	$674.43	$1,577.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.84 / $136.18 / $379.23	Professional	26	$73.84	$136.18	$379.23