Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.58 / $60.58 / $208.84	Facility	26	$60.58	$60.58	$208.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.58 / $389.17 / $1,135.25	Professional		$322.58	$389.17	$1,135.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.96 / $60.88 / $304.70	Professional	26	$50.96	$60.88	$304.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $491.86 / $1,474.86	Professional		$252.96	$491.86	$1,474.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.53 / $80.05 / $242.66	Professional	26	$51.53	$80.05	$242.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.68 / $173.75 / $266.54	Facility	26	$148.68	$173.75	$266.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.39 / $890.29 / $1,240.24	Professional		$374.39	$890.29	$1,240.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.40 / $142.79 / $203.16	Professional	26	$67.40	$142.79	$203.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.51 / $795.88 / $2,222.29	Professional		$298.51	$795.88	$2,222.29
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.36 / $145.56 / $774.69	Professional	26	$65.36	$145.56	$774.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $241.26 / $640.69	Professional		$54.30	$241.26	$640.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.57 / $795.36 / $1,127.24	Professional		$349.57	$795.36	$1,127.24
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $251.32 / $251.32 / $251.32	Facility	26	$251.32	$251.32	$251.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $504.87 / $1,591.75 / $2,222.29	Professional		$504.87	$1,591.75	$2,222.29
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $93.98 / $285.10 / $774.69	Professional	26	$93.98	$285.10	$774.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $729.37 / $1,351.05 / $1,798.14	Professional		$729.37	$1,351.05	$1,798.14
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.33 / $143.97 / $182.18	Professional	26	$70.33	$143.97	$182.18
United Facility/Professional Professional Modifier Low / Median / High Price $322.87 / $614.28 / $1,193.81	Professional		$322.87	$614.28	$1,193.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.81 / $147.66 / $261.02	Professional	26	$74.81	$147.66	$261.02