Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.17 / $50.17 / $201.46	Facility	26	$50.17	$50.17	$201.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $291.27 / $1,030.00	Professional		$229.63	$291.27	$1,030.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.87 / $59.07 / $100.83	Professional	26	$46.87	$59.07	$100.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.56 / $423.02 / $775.31	Professional		$225.56	$423.02	$775.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.90 / $89.97 / $168.83	Professional	26	$54.90	$89.97	$168.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.28 / $167.43 / $222.53	Facility	26	$143.28	$167.43	$222.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.11 / $564.54 / $773.99	Professional		$266.11	$564.54	$773.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $107.82 / $132.00	Professional	26	$61.35	$107.82	$132.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $242.19 / $242.19 / $242.19	Facility	26	$242.19	$242.19	$242.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.16 / $427.55 / $1,659.46	Professional		$242.16	$427.55	$1,659.46
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.48 / $103.50 / $337.70	Professional	26	$57.48	$103.50	$337.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $222.88 / $596.27	Professional		$55.67	$222.88	$596.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $438.08 / $749.70 / $1,069.20	Professional		$438.08	$749.70	$1,069.20
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $128.47 / $242.19 / $242.19	Facility	26	$128.47	$242.19	$242.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $460.64 / $1,210.82 / $1,659.46	Professional		$460.64	$1,210.82	$1,659.46
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $100.12 / $271.35 / $337.70	Professional	26	$100.12	$271.35	$337.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $301.30 / $990.96 / $990.96	Professional		$301.30	$990.96	$990.96
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.95 / $85.84 / $105.57	Professional	26	$72.95	$85.84	$105.57
United Facility/Professional Professional Modifier Low / Median / High Price $242.16 / $398.20 / $728.91	Professional		$242.16	$398.20	$728.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.09 / $99.02 / $173.68	Professional	26	$56.09	$99.02	$173.68