Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.61 / $39.81 / $118.54	Facility	26	$34.61	$39.81	$118.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $94.35 / $149.11	Professional		$81.27	$94.35	$149.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.99 / $34.57 / $47.91	Professional	26	$28.99	$34.57	$47.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $124.68 / $297.06	Professional		$88.23	$124.68	$297.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $45.75 / $106.67	Professional	26	$32.11	$45.75	$106.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.80 / $97.93 / $150.22	Facility	26	$83.80	$97.93	$150.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $214.72 / $257.51	Professional		$108.11	$214.72	$257.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.29 / $76.09 / $91.93	Professional	26	$37.29	$76.09	$91.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $74.91 / $140.77 / $140.77	Facility	26	$74.91	$140.77	$140.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $154.41 / $560.38	Professional		$93.11	$154.41	$560.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.14 / $57.31 / $201.28	Professional	26	$34.14	$57.31	$201.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $80.11 / $186.96	Professional		$38.00	$80.11	$186.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.40 / $207.02 / $289.92	Professional		$147.40	$207.02	$289.92
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $140.77 / $140.77	Facility	26	$36.04	$140.77	$140.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $442.60 / $560.38	Professional		$130.10	$442.60	$560.38
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $47.02 / $165.75 / $201.28	Professional	26	$47.02	$165.75	$201.28
Security Health Facility/Professional Facility Modifier 26 Low / Median / High Price $51.75 / $51.75 / $51.75	Facility	26	$51.75	$51.75	$51.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $275.95 / $313.86	Professional		$129.66	$275.95	$313.86
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.99 / $51.75 / $65.48	Professional	26	$43.99	$51.75	$65.48
United Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $139.63 / $302.25	Professional		$92.94	$139.63	$302.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.25 / $52.67 / $110.82	Professional	26	$33.25	$52.67	$110.82