Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.13 / $15.13 / $53.05	Facility	26	$15.13	$15.13	$53.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $54.34 / $107.74	Professional		$45.62	$54.34	$107.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $69.23 / $169.99	Professional		$49.30	$69.23	$169.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $42.12 / $64.62	Facility	26	$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $121.67 / $145.44	Professional		$57.95	$121.67	$145.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.53 / $100.00 / $100.00	Facility	26	$33.53	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $95.47 / $500.00	Professional		$53.41	$95.47	$500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $47.36 / $73.66	Professional		$19.71	$47.36	$73.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $119.59 / $167.20	Professional		$83.60	$119.59	$167.20
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $15.90 / $100.00 / $100.00	Facility	26	$15.90	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $254.05 / $500.00	Professional		$77.36	$254.05	$500.00
Security Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.43 / $22.43 / $22.43	Facility	26	$22.43	$22.43	$22.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $177.24 / $177.24	Professional		$74.34	$177.24	$177.24
United Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $86.89 / $169.87	Professional		$53.33	$86.89	$169.87