Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.94 / $42.94 / $81.16	Facility	26	$42.94	$42.94	$81.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $68.67 / $164.00	Professional		$48.74	$68.67	$164.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.86 / $29.00 / $122.46	Professional	26	$21.86	$29.00	$122.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $79.78 / $308.87	Professional		$42.11	$79.78	$308.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.27 / $40.38 / $133.83	Professional	26	$22.27	$40.38	$133.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.87 / $65.29 / $100.15	Facility	26	$55.87	$65.29	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $150.66 / $171.21	Professional		$78.25	$150.66	$171.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $61.91 / $70.34	Professional	26	$33.22	$61.91	$70.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $50.69 / $96.88 / $96.88	Facility	26	$50.69	$96.88	$96.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $72.80 / $352.79	Professional		$45.43	$72.80	$352.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $41.40 / $140.68	Professional	26	$23.82	$41.40	$140.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $46.13 / $74.33	Professional		$19.71	$46.13	$74.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $121.48 / $166.60	Professional		$68.45	$121.48	$166.60
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $28.94 / $50.69 / $96.88	Facility	26	$28.94	$50.69	$96.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $233.65 / $352.79	Professional		$87.37	$233.65	$352.79
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $35.88 / $114.90 / $140.68	Professional	26	$35.88	$114.90	$140.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $249.26 / $357.01	Professional		$134.35	$249.26	$357.01
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.36 / $95.75 / $116.29	Professional	26	$39.36	$95.75	$116.29
United Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $74.78 / $156.22	Professional		$45.48	$74.78	$156.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $39.76 / $77.90	Professional	26	$23.82	$39.76	$77.90