Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.68 / $39.68 / $136.82	Facility	26	$39.68	$39.68	$136.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $90.52 / $213.06	Professional		$75.25	$90.52	$213.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.39 / $39.68 / $67.47	Professional	26	$34.39	$39.68	$67.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $119.62 / $353.22	Professional		$77.81	$119.62	$353.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.61 / $52.44 / $152.44	Professional	26	$35.61	$52.44	$152.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.42 / $112.67 / $172.85	Facility	26	$96.42	$112.67	$172.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $211.11 / $268.99	Professional		$90.57	$211.11	$268.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.86 / $92.54 / $119.32	Professional	26	$43.86	$92.54	$119.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $197.83 / $553.27	Professional		$98.47	$197.83	$553.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.15 / $90.52 / $234.24	Professional	26	$45.15	$90.52	$234.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $64.69 / $190.18	Professional		$25.36	$64.69	$190.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $188.20 / $268.39	Professional		$131.76	$188.20	$268.39
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $165.02 / $165.02 / $165.02	Facility	26	$165.02	$165.02	$165.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.73 / $414.15 / $553.27	Professional		$119.73	$414.15	$553.27
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $52.47 / $188.10 / $234.24	Professional	26	$52.47	$188.10	$234.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.12 / $342.68 / $426.43	Professional		$169.12	$342.68	$426.43
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.40 / $92.89 / $119.94	Professional	26	$46.40	$92.89	$119.94
United Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $165.10 / $310.61	Professional		$96.58	$165.10	$310.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $75.45 / $141.08	Professional	26	$42.06	$75.45	$141.08