Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.50 / $24.50 / $82.33	Facility	26	$24.50	$24.50	$82.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $137.94 / $172.73	Professional		$119.85	$137.94	$172.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.73 / $24.50 / $43.49	Professional	26	$21.73	$24.50	$43.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $261.75 / $902.07	Professional		$144.36	$261.75	$902.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $40.32 / $142.44	Professional	26	$23.05	$40.32	$142.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.67 / $67.39 / $103.38	Facility	26	$57.67	$67.39	$103.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $366.53 / $416.51	Professional		$165.41	$366.53	$416.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.65 / $56.49 / $64.19	Professional	26	$26.65	$56.49	$64.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.96 / $102.96 / $102.96	Facility	26	$102.96	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.41 / $298.22 / $845.52	Professional		$170.41	$298.22	$845.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.84 / $47.44 / $147.91	Professional	26	$27.84	$47.44	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $123.56 / $253.92	Professional		$56.22	$123.56	$253.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $221.31 / $341.55 / $491.71	Professional		$221.31	$341.55	$491.71
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $53.10 / $102.96 / $102.96	Facility	26	$53.10	$102.96	$102.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $551.48 / $845.52	Professional		$165.41	$551.48	$845.52
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $25.49 / $95.58 / $147.91	Professional	26	$25.49	$95.58	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $348.74 / $658.20 / $658.20	Professional		$348.74	$658.20	$658.20
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.01 / $58.83 / $89.36	Professional	26	$50.01	$58.83	$89.36
United Facility/Professional Professional Modifier Low / Median / High Price $170.41 / $306.35 / $629.33	Professional		$170.41	$306.35	$629.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.30 / $43.35 / $87.86	Professional	26	$27.30	$43.35	$87.86