Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $83.18	Facility	26	$23.99	$23.99	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $257.04	Professional		$112.20	$141.25	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $23.99 / $43.65	Professional	26	$20.89	$23.99	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $616.60	Professional		$147.91	$218.78	$616.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $33.11 / $95.50	Professional	26	$22.91	$33.11	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $67.61 / $107.15	Facility	26	$57.54	$67.61	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $371.54 / $436.52	Professional		$158.49	$371.54	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $54.95 / $66.07	Professional	26	$25.12	$54.95	$66.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $398.11	Professional		$263.03	$295.12	$398.11
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $45.71 / $61.66	Professional	26	$39.81	$45.71	$61.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $851.14	Professional		$158.49	$257.04	$851.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $40.74 / $147.91	Professional	26	$25.70	$40.74	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $489.78	Professional		$190.55	$346.74	$489.78
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $147.91 / $147.91	Facility	26	$51.29	$147.91	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $645.65 / $851.14	Professional		$154.88	$645.65	$851.14
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $117.49 / $147.91	Professional	26	$23.99	$117.49	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $707.95	Professional		$316.23	$588.84	$707.95
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $58.88 / $74.13	Professional	26	$46.77	$58.88	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $478.63	Professional		$158.49	$218.78	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $35.48 / $75.86	Professional	26	$25.70	$35.48	$75.86