Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $169.82	Facility	26	$48.98	$48.98	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $87.10	Professional		$52.48	$64.57	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $43.65 / $61.66	Professional	26	$38.02	$43.65	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $199.53	Professional		$61.66	$93.33	$199.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $144.54	Professional	26	$43.65	$64.57	$144.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $138.04 / $223.87	Facility	26	$120.23	$138.04	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $169.82 / $223.87	Professional		$75.86	$169.82	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $117.49 / $151.36	Professional	26	$52.48	$117.49	$151.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $181.97	Professional		$117.49	$134.90	$181.97
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $93.33 / $125.89	Professional	26	$79.43	$93.33	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $407.38	Professional		$69.18	$117.49	$407.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $85.11 / $281.84	Professional	26	$48.98	$85.11	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $204.17	Professional		$81.28	$138.04	$204.17
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $281.84	Facility	26	$104.71	$104.71	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $316.23 / $407.38	Professional		$79.43	$316.23	$407.38
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $223.87 / $281.84	Professional	26	$54.95	$223.87	$281.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $331.13 / $398.11	Professional		$79.43	$331.13	$398.11
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $69.18 / $125.89	Professional	26	$56.23	$69.18	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $223.87	Professional		$66.07	$104.71	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $75.86 / $158.49	Professional	26	$46.77	$75.86	$158.49