Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $130.15 / $240.53	Professional		$96.81	$130.15	$240.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.64 / $24.78 / $55.04	Professional	26	$19.64	$24.78	$55.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $276.26 / $632.91	Professional		$39.21	$276.26	$632.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $77.56 / $157.93	Professional	26	$11.23	$77.56	$157.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.14 / $93.34 / $132.47	Facility	26	$82.14	$93.34	$132.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $182.30 / $402.66	Professional		$62.90	$182.30	$402.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.93 / $36.03 / $84.53	Professional	26	$12.93	$36.03	$84.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	26	$118.08	$118.08	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $141.13 / $888.56	Professional		$81.34	$141.13	$888.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.66 / $30.57 / $239.41	Professional	26	$18.66	$30.57	$239.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $379.70	Professional		$50.00	$70.00	$379.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $310.02 / $439.21	Professional		$114.22	$310.02	$439.21
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $118.08	Facility	26	$100.00	$100.00	$118.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $658.49 / $888.56	Professional		$65.37	$658.49	$888.56
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $13.89 / $137.30 / $239.41	Professional	26	$13.89	$137.30	$239.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $702.21	Professional		$195.70	$195.70	$702.21
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.57 / $20.57 / $98.01	Professional	26	$20.57	$20.57	$98.01
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $108.41 / $321.56	Professional		$70.59	$108.41	$321.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.66 / $27.46 / $83.23	Professional	26	$18.66	$27.46	$83.23