Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.24 / $24.24 / $80.12	Facility	26	$24.24	$24.24	$80.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $77.09 / $95.41	Professional		$63.04	$77.09	$95.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.45 / $23.25 / $29.71	Professional	26	$20.45	$23.25	$29.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $108.58 / $273.86	Professional		$68.79	$108.58	$273.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $32.04 / $89.40	Professional	26	$21.65	$32.04	$89.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.87 / $65.29 / $100.15	Facility	26	$55.87	$65.29	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $162.53 / $187.95	Professional		$83.43	$162.53	$187.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.48 / $52.19 / $62.13	Professional	26	$26.48	$52.19	$62.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $51.03 / $95.38 / $95.38	Facility	26	$51.03	$95.38	$95.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $126.41 / $437.32	Professional		$77.38	$126.41	$437.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.04 / $40.27 / $141.18	Professional	26	$24.04	$40.27	$141.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $46.76 / $71.18	Professional		$20.68	$46.76	$71.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $153.12 / $215.60	Professional		$104.86	$153.12	$215.60
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $24.49 / $95.38 / $95.38	Facility	26	$24.49	$95.38	$95.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $279.89 / $437.32	Professional		$98.35	$279.89	$437.32
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $31.37 / $92.52 / $141.18	Professional	26	$31.37	$92.52	$141.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.39 / $334.04 / $334.04	Professional		$177.39	$334.04	$334.04
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $52.02 / $57.96	Professional	26	$28.41	$52.02	$57.96
United Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $116.84 / $247.29	Professional		$75.59	$116.84	$247.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.95 / $37.17 / $76.91	Professional	26	$23.95	$37.17	$76.91