Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $153.59 / $300.44	Professional		$114.70	$153.59	$300.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.52 / $35.99 / $149.50	Professional	26	$28.52	$35.99	$149.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $337.55 / $702.30	Professional		$53.57	$337.55	$702.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $109.43 / $227.43	Professional	26	$16.27	$109.43	$227.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.89 / $132.83 / $188.53	Facility	26	$116.89	$132.83	$188.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $207.16 / $476.20	Professional		$74.48	$207.16	$476.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.52 / $49.04 / $120.63	Professional	26	$17.52	$49.04	$120.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $166.51 / $166.51 / $166.51	Facility	26	$166.51	$166.51	$166.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $154.43 / $1,357.00	Professional		$90.37	$154.43	$1,357.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.44 / $59.01 / $271.00	Professional	26	$28.44	$59.01	$271.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $341.91	Professional		$50.00	$70.00	$341.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $371.00 / $520.35	Professional		$197.64	$371.00	$520.35
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $166.51	Facility	26	$100.00	$100.00	$166.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $668.70 / $1,357.00	Professional		$79.73	$668.70	$1,357.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $19.76 / $197.75 / $271.00	Professional	26	$19.76	$197.75	$271.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $174.69 / $174.69 / $856.40	Professional		$174.69	$174.69	$856.40
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.57 / $28.57 / $136.15	Professional	26	$28.57	$28.57	$136.15
United Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $133.74 / $385.17	Professional		$87.18	$133.74	$385.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.44 / $39.07 / $113.90	Professional	26	$28.44	$39.07	$113.90