Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.89 / $69.89 / $132.85	Facility	26	$69.89	$69.89	$132.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $90.76 / $289.00	Professional		$66.84	$90.76	$289.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.59 / $47.34 / $69.89	Professional	26	$36.59	$47.34	$69.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $106.71 / $425.19	Professional		$61.31	$106.71	$425.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.83 / $58.36 / $228.96	Professional	26	$36.83	$58.36	$228.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.72 / $109.52 / $168.00	Facility	26	$93.72	$109.52	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $201.28 / $228.73	Professional		$105.42	$201.28	$228.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.68 / $101.93 / $116.00	Professional	26	$57.68	$101.93	$116.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $83.11 / $158.93 / $158.93	Facility	26	$83.11	$158.93	$158.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $115.22 / $457.11	Professional		$67.48	$115.22	$457.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.25 / $72.76 / $229.85	Professional	26	$38.25	$72.76	$229.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $55.81 / $125.82	Professional		$25.07	$55.81	$125.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $170.93 / $228.80	Professional		$112.32	$170.93	$228.80
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $47.38 / $83.11 / $158.93	Facility	26	$47.38	$83.11	$158.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.72 / $323.64 / $457.11	Professional		$116.72	$323.64	$457.11
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $59.10 / $186.05 / $229.85	Professional	26	$59.10	$186.05	$229.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $352.91 / $476.96	Professional		$206.80	$352.91	$476.96
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $134.58 / $158.33 / $188.42	Professional	26	$134.58	$158.33	$188.42
United Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $116.88 / $283.68	Professional		$67.48	$116.88	$283.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.25 / $70.22 / $163.07	Professional	26	$38.25	$70.22	$163.07