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 $60.32 / $86.98 / $344.00	Professional		$60.32	$86.98	$344.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.04 / $22.09 / $104.63	Professional	26	$19.04	$22.09	$104.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $141.60 / $332.98	Professional		$75.31	$141.60	$332.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.77 / $36.83 / $84.02	Professional	26	$19.77	$36.83	$84.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $51.04 / $76.36	Professional		$17.96	$51.04	$76.36
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 $79.36 / $193.99 / $220.99	Professional		$79.36	$193.99	$220.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.81 / $49.14 / $55.84	Professional	26	$22.81	$49.14	$55.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $119.09 / $516.91	Professional		$49.16	$119.09	$516.91
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.02 / $35.60 / $122.01	Professional	26	$21.02	$35.60	$122.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $67.79 / $142.39	Professional		$39.42	$67.79	$142.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $173.54 / $238.00	Professional		$60.05	$173.54	$238.00
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 $93.09 / $384.15 / $516.91	Professional		$93.09	$384.15	$516.91
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $24.65 / $98.15 / $122.01	Professional	26	$24.65	$98.15	$122.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $391.81 / $391.81	Professional		$182.02	$391.81	$391.81
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.44 / $50.06 / $77.04	Professional	26	$45.44	$50.06	$77.04
United Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $119.16 / $272.02	Professional		$59.98	$119.16	$272.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.04 / $35.60 / $73.15	Professional	26	$21.04	$35.60	$73.15