Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $154.88	Facility	26	$79.43	$79.43	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $199.53	Professional		$61.66	$89.13	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $52.48 / $128.82	Professional	26	$38.02	$52.48	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $346.74	Professional		$69.18	$114.82	$346.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $66.07 / $199.53	Professional	26	$42.66	$66.07	$199.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $125.89 / $199.53	Facility	26	$107.15	$125.89	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $257.04	Professional		$114.82	$208.93	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $120.23 / $138.04	Professional	26	$63.10	$120.23	$138.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $213.80	Professional		$138.04	$181.97	$213.80
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $123.03	Professional	26	$74.13	$97.72	$123.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $186.21 / $186.21	Facility	26	$95.50	$186.21	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $489.78	Professional		$74.13	$125.89	$489.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $83.18 / $263.03	Professional	26	$44.67	$83.18	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $245.47	Professional		$89.13	$177.83	$245.47
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $263.03 / $263.03	Facility	26	$95.50	$263.03	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $354.81 / $489.78	Professional		$91.20	$354.81	$489.78
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $213.80 / $263.03	Professional	26	$60.26	$213.80	$263.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $512.86	Professional		$223.87	$338.84	$512.86
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $181.97 / $218.78	Professional	26	$154.88	$181.97	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $269.15	Professional		$72.44	$112.20	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $69.18 / $162.18	Professional	26	$43.65	$69.18	$162.18