Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.01 / $21.01 / $72.02	Facility	26	$21.01	$21.01	$72.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $77.98 / $269.70	Professional		$73.76	$77.98	$269.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $21.13 / $106.52	Professional	26	$19.55	$21.13	$106.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $139.25 / $308.26	Professional		$73.38	$139.25	$308.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.77 / $37.45 / $84.02	Professional	26	$19.77	$37.45	$84.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.46 / $58.97 / $90.46	Facility	26	$50.46	$58.97	$90.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $179.60 / $205.14	Professional		$73.62	$179.60	$205.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $49.14 / $55.84	Professional	26	$22.39	$49.14	$55.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $115.91 / $490.88	Professional		$48.55	$115.91	$490.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.30 / $35.93 / $122.01	Professional	26	$21.30	$35.93	$122.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $59.97 / $135.59	Professional		$25.84	$59.97	$135.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $160.91 / $220.69	Professional		$59.28	$160.91	$220.69
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.18 / $373.90 / $490.88	Professional		$86.18	$373.90	$490.88
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $24.56 / $99.90 / $122.01	Professional	26	$24.56	$99.90	$122.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $170.88 / $362.76 / $362.76	Professional		$170.88	$362.76	$362.76
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.44 / $50.51 / $78.36	Professional	26	$45.44	$50.51	$78.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $115.36 / $276.60	Professional		$63.40	$115.36	$276.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.66 / $37.94 / $69.93	Professional	26	$21.66	$37.94	$69.93