Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.63 / $70.63 / $243.29	Facility	26	$70.63	$70.63	$243.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $141.00 / $647.04	Professional		$107.92	$141.00	$647.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $71.01 / $442.00	Professional	26	$60.27	$71.01	$442.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $159.72 / $445.44	Professional		$109.62	$159.72	$445.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.07 / $93.34 / $251.00	Professional	26	$63.07	$93.34	$251.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $74.70 / $134.47	Professional		$48.60	$74.70	$134.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.92 / $203.23 / $311.77	Facility	26	$173.92	$203.23	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $273.08 / $361.94	Professional		$118.46	$273.08	$361.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.42 / $166.33 / $212.12	Professional	26	$77.42	$166.33	$212.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.51 / $285.75 / $728.40	Professional		$142.51	$285.75	$728.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.64 / $167.33 / $414.32	Professional	26	$81.64	$167.33	$414.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $68.13 / $188.51	Professional		$28.18	$68.13	$188.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $254.53 / $363.00	Professional		$178.20	$254.53	$363.00
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $292.17 / $292.17 / $292.17	Facility	26	$292.17	$292.17	$292.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $161.74 / $593.79 / $728.40	Professional		$161.74	$593.79	$728.40
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $94.32 / $334.65 / $414.32	Professional	26	$94.32	$334.65	$414.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $466.20 / $576.08	Professional		$167.33	$466.20	$576.08
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.40 / $168.97 / $213.80	Professional	26	$82.40	$168.97	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $293.54 / $528.41	Professional		$118.09	$293.54	$528.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.31 / $136.88 / $250.99	Professional	26	$80.31	$136.88	$250.99