Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $117.45 / $176.39	Professional		$89.22	$117.45	$176.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.11 / $49.08 / $73.28	Professional	26	$39.11	$49.08	$73.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $368.97 / $759.31	Professional		$72.98	$368.97	$759.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.82 / $159.07 / $324.58	Professional	26	$29.82	$159.07	$324.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.06 / $181.89 / $258.17	Facility	26	$160.06	$181.89	$258.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $176.00 / $398.06	Professional		$58.79	$176.00	$398.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.51 / $73.91 / $165.85	Professional	26	$25.51	$73.91	$165.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $317.04 / $317.04 / $317.04	Facility	26	$317.04	$317.04	$317.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $182.19 / $1,000.49	Professional		$96.80	$182.19	$1,000.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.65 / $77.89 / $415.79	Professional	26	$40.65	$77.89	$415.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $65.00 / $264.08	Professional		$34.36	$65.00	$264.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $291.55 / $424.00	Professional		$147.44	$291.55	$424.00
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $317.04	Facility	26	$100.00	$100.00	$317.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $934.92 / $1,000.49	Professional		$63.98	$934.92	$1,000.49
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $27.06 / $379.91 / $415.79	Professional	26	$27.06	$379.91	$415.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.14 / $100.14 / $642.48	Professional		$100.14	$100.14	$642.48
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.26 / $42.26 / $201.37	Professional	26	$42.26	$42.26	$201.37
United Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $132.02 / $431.22	Professional		$104.86	$132.02	$431.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.65 / $56.44 / $180.45	Professional	26	$40.65	$56.44	$180.45