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 / $79.43	Facility	26	$23.99	$23.99	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $102.33	Professional		$60.26	$74.13	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $22.91 / $30.90	Professional	26	$19.95	$22.91	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $263.03	Professional		$72.44	$109.65	$263.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $32.36 / $85.11	Professional	26	$22.91	$32.36	$85.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $63.10 / $104.71	Facility	26	$17.38	$63.10	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $204.17	Professional		$75.86	$147.91	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $47.86 / $64.57	Professional	26	$24.55	$47.86	$64.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $181.97	Professional		$112.20	$134.90	$181.97
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $44.67 / $60.26	Professional	26	$37.15	$44.67	$60.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $95.50 / $95.50	Facility	26	$51.29	$95.50	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $436.52	Professional		$74.13	$123.03	$436.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $38.90 / $141.25	Professional	26	$23.44	$38.90	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $218.78	Professional		$77.62	$147.91	$218.78
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $141.25 / $141.25	Facility	26	$50.12	$141.25	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $263.03 / $436.52	Professional		$70.79	$263.03	$436.52
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $89.13 / $141.25	Professional	26	$21.88	$89.13	$141.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $331.13 / $426.58	Professional		$114.82	$331.13	$426.58
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $52.48 / $64.57	Professional	26	$28.18	$52.48	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $229.09	Professional		$72.44	$102.33	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $33.11 / $70.79	Professional	26	$22.91	$33.11	$70.79