Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.86 / $39.86 / $76.51	Facility	26	$39.86	$39.86	$76.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $65.73 / $187.39	Professional		$45.57	$65.73	$187.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.26 / $27.32 / $61.92	Professional	26	$20.26	$27.32	$61.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $75.94 / $282.56	Professional		$39.32	$75.94	$282.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.01 / $37.24 / $123.66	Professional	26	$21.01	$37.24	$123.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.07 / $63.18 / $96.92	Facility	26	$54.07	$63.18	$96.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $147.08 / $167.14	Professional		$75.70	$147.08	$167.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.80 / $59.25 / $67.33	Professional	26	$31.80	$59.25	$67.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $48.04 / $97.62 / $97.62	Facility	26	$48.04	$97.62	$97.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $67.98 / $331.15	Professional		$42.81	$67.98	$331.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.58 / $40.27 / $130.11	Professional	26	$22.58	$40.27	$130.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $43.83 / $74.33	Professional		$19.71	$43.83	$74.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $119.11 / $163.35	Professional		$71.19	$119.11	$163.35
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $27.28 / $48.04 / $97.62	Facility	26	$27.28	$48.04	$97.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $219.29 / $331.15	Professional		$78.94	$219.29	$331.15
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $34.35 / $106.15 / $130.11	Professional	26	$34.35	$106.15	$130.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $233.93 / $348.43	Professional		$118.81	$233.93	$348.43
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $75.20 / $88.47 / $108.81	Professional	26	$75.20	$88.47	$108.81
United Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $67.73 / $145.79	Professional		$44.31	$67.73	$145.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.58 / $36.92 / $74.33	Professional	26	$22.58	$36.92	$74.33