Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.98 / $80.98 / $153.74	Facility	26	$80.98	$80.98	$153.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $99.28 / $308.00	Professional		$71.86	$99.28	$308.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.63 / $55.49 / $205.00	Professional	26	$42.63	$55.49	$205.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $116.48 / $460.30	Professional		$67.00	$116.48	$460.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.68 / $67.63 / $263.73	Professional	26	$42.68	$67.63	$263.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.13 / $126.36 / $193.85	Facility	26	$108.13	$126.36	$193.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $218.46 / $248.25	Professional		$114.83	$218.46	$248.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.53 / $118.13 / $134.24	Professional	26	$63.53	$118.13	$134.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $96.12 / $184.67 / $184.67	Facility	26	$96.12	$184.67	$184.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $125.55 / $493.66	Professional		$73.62	$125.55	$493.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $83.39 / $264.24	Professional	26	$44.39	$83.39	$264.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $56.26 / $127.76	Professional		$25.07	$56.26	$127.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $185.73 / $248.60	Professional		$122.04	$185.73	$248.60
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $54.83 / $96.12 / $184.67	Facility	26	$54.83	$96.12	$184.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $126.66 / $352.65 / $493.66	Professional		$126.66	$352.65	$493.66
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $68.48 / $215.05 / $264.24	Professional	26	$68.48	$215.05	$264.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $225.62 / $384.46 / $517.60	Professional		$225.62	$384.46	$517.60
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $153.41 / $180.48 / $218.30	Professional	26	$153.41	$180.48	$218.30
United Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $118.11 / $287.41	Professional		$71.68	$118.11	$287.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $77.42 / $175.27	Professional	26	$44.39	$77.42	$175.27