Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.52 / $83.39 / $249.70	Facility	26	$72.52	$83.39	$249.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $166.11 / $268.20	Professional		$141.85	$166.11	$268.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.42 / $72.52 / $286.22	Professional	26	$62.42	$72.52	$286.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $217.00 / $505.10	Professional		$151.47	$217.00	$505.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.80 / $95.82 / $223.40	Professional	26	$67.80	$95.82	$223.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $174.82 / $204.29 / $313.38	Facility	26	$174.82	$204.29	$313.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.56 / $370.59 / $445.86	Professional		$170.56	$370.59	$445.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.84 / $159.38 / $192.66	Professional	26	$75.84	$159.38	$192.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $157.36 / $302.75 / $302.75	Facility	26	$157.36	$302.75	$302.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.34 / $277.27 / $982.06	Professional		$157.34	$277.27	$982.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.77 / $125.69 / $428.85	Professional	26	$71.77	$125.69	$428.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $113.24 / $240.28	Professional		$55.31	$113.24	$240.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.30 / $360.28 / $512.60	Professional		$256.30	$360.28	$512.60
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $89.05 / $302.75 / $302.75	Facility	26	$89.05	$302.75	$302.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $235.51 / $771.25 / $982.06	Professional		$235.51	$771.25	$982.06
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $102.03 / $344.80 / $428.85	Professional	26	$102.03	$344.80	$428.85
Security Health Facility/Professional Facility Modifier 26 Low / Median / High Price $108.57 / $108.57 / $108.57	Facility	26	$108.57	$108.57	$108.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $247.54 / $501.87 / $543.40	Professional		$247.54	$501.87	$543.40
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $92.28 / $106.83 / $159.40	Professional	26	$92.28	$106.83	$159.40
United Facility/Professional Professional Modifier Low / Median / High Price $157.34 / $243.88 / $539.88	Professional		$157.34	$243.88	$539.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.41 / $109.62 / $226.66	Professional	26	$68.41	$109.62	$226.66