Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $229.09	Professional		$100.00	$128.82	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $37.15 / $512.86	Professional	26	$21.88	$37.15	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $213.80 / $660.69	Professional		$38.90	$213.80	$660.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $61.66 / $165.96	Professional	26	$11.22	$61.66	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $93.33 / $138.04	Facility	26	$81.28	$93.33	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $181.97 / $389.05	Professional		$61.66	$181.97	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $34.67 / $79.43	Professional	26	$12.88	$34.67	$79.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $407.38	Professional		$363.08	$363.08	$407.38
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $72.44 / $79.43	Professional	26	$72.44	$72.44	$79.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	26	$117.49	$117.49	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $891.25	Professional		$81.28	$147.91	$891.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $38.02 / $239.88	Professional	26	$18.62	$38.02	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $85.11	Professional		$32.36	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $309.03 / $436.52	Professional		$114.82	$309.03	$436.52
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $165.96	Facility	26	$100.00	$100.00	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $660.69 / $891.25	Professional		$63.10	$660.69	$891.25
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $138.04 / $239.88	Professional	26	$12.30	$138.04	$239.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $707.95	Professional		$194.98	$251.19	$707.95
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.42 / $97.72	Professional	26	$20.42	$20.42	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $323.59	Professional		$67.61	$109.65	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $27.54 / $69.18	Professional	26	$16.98	$27.54	$69.18