Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.00 / $49.00 / $169.14	Facility	26	$49.00	$49.00	$169.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.76 / $108.65	Professional		$58.40	$70.76	$108.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $49.00 / $70.61	Professional	26	$40.90	$49.00	$70.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $93.50 / $218.73	Professional		$59.82	$93.50	$218.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.66 / $64.75 / $157.25	Professional	26	$41.66	$64.75	$157.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.95 / $139.00 / $213.23	Facility	26	$118.95	$139.00	$213.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $165.69 / $215.43	Professional		$82.42	$165.69	$215.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.25 / $114.59 / $146.93	Professional	26	$55.25	$114.59	$146.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $150.16 / $404.18	Professional		$75.08	$150.16	$404.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.21 / $108.25 / $278.89	Professional	26	$54.21	$108.25	$278.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $58.40 / $129.80	Professional		$25.04	$58.40	$129.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.75 / $148.08 / $213.40	Professional		$83.75	$148.08	$213.40
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $201.33 / $201.33 / $201.33	Facility	26	$201.33	$201.33	$201.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $312.85 / $404.18	Professional		$93.90	$312.85	$404.18
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $64.93 / $224.95 / $278.89	Professional	26	$64.93	$224.95	$278.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $334.64 / $334.64	Professional		$79.80	$334.64	$334.64
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.97 / $55.97 / $113.12	Professional	26	$55.97	$55.97	$113.12
United Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $131.16 / $234.64	Professional		$74.95	$131.16	$234.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.80 / $90.24 / $168.71	Professional	26	$51.80	$90.24	$168.71