Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $83.18 / $83.18	Facility	26	$72.44	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $338.84	Professional		$138.04	$169.82	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $85.11 / $295.12	Professional	26	$61.66	$85.11	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $501.19	Professional		$154.88	$218.78	$501.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $95.50 / $218.78	Professional	26	$67.61	$95.50	$218.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $199.53 / $323.59	Facility	26	$54.95	$199.53	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $346.74 / $501.19	Professional		$165.96	$346.74	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $147.91 / $213.80	Professional	26	$72.44	$147.91	$213.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $467.74	Professional		$269.15	$323.59	$467.74
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $138.04 / $199.53	Professional	26	$114.82	$138.04	$199.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $302.00 / $302.00	Facility	26	$158.49	$302.00	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $977.24	Professional		$154.88	$275.42	$977.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $123.03 / $426.58	Professional	26	$70.79	$123.03	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $549.54	Professional		$194.98	$371.54	$549.54
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $426.58 / $426.58	Facility	26	$154.88	$426.58	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $776.25 / $977.24	Professional		$169.82	$776.25	$977.24
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $346.74 / $426.58	Professional	26	$70.79	$346.74	$426.58
Security Health Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $549.54	Professional		$245.47	$346.74	$549.54
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $107.15 / $165.96	Professional	26	$93.33	$107.15	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $478.63	Professional		$154.88	$218.78	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $97.72 / $208.93	Professional	26	$67.61	$97.72	$208.93