Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.12 / $545.19 / $684.56	Professional		$337.12	$545.19	$684.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.49 / $71.34 / $309.39	Professional	26	$56.49	$71.34	$309.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.29 / $1,248.39 / $2,127.46	Professional		$281.29	$1,248.39	$2,127.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.97 / $219.28 / $448.64	Professional	26	$31.97	$219.28	$448.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $235.88 / $268.04 / $380.46	Facility	26	$235.88	$268.04	$380.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.19 / $673.31 / $1,403.85	Professional		$228.19	$673.31	$1,403.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.32 / $103.94 / $242.19	Professional	26	$37.32	$103.94	$242.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $340.61 / $340.61 / $340.61	Facility	26	$340.61	$340.61	$340.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.98 / $637.13 / $3,261.22	Professional		$299.98	$637.13	$3,261.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.24 / $107.67 / $665.00	Professional	26	$57.24	$107.67	$665.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,438.35	Professional		$50.00	$70.00	$1,438.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $329.46 / $1,136.52 / $1,596.74	Professional		$329.46	$1,136.52	$1,596.74
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $145.56 / $145.56 / $340.61	Facility	26	$145.56	$145.56	$340.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $231.37 / $3,007.97 / $3,261.22	Professional		$231.37	$3,007.97	$3,261.22
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $39.86 / $390.10 / $665.00	Professional	26	$39.86	$390.10	$665.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $759.11 / $978.94 / $2,485.34	Professional		$759.11	$978.94	$2,485.34
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.51 / $58.51 / $278.86	Professional	26	$58.51	$58.51	$278.86
United Facility/Professional Professional Modifier Low / Median / High Price $283.19 / $374.97 / $1,218.65	Professional		$283.19	$374.97	$1,218.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.49 / $78.02 / $235.01	Professional	26	$53.49	$78.02	$235.01