Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $125.89	Facility	26	$117.49	$117.49	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $501.19	Professional		$194.98	$275.42	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $67.61 / $141.25	Professional	26	$53.70	$67.61	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $1,174.90	Professional		$199.53	$363.08	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $91.20 / $338.84	Professional	26	$58.88	$91.20	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $186.21 / $295.12	Facility	26	$158.49	$186.21	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $524.81 / $831.76	Professional		$223.87	$524.81	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $123.03 / $245.47	Professional	26	$54.95	$123.03	$245.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $691.83	Professional		$371.54	$446.68	$691.83
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $131.83 / $177.83	Professional	26	$109.65	$131.83	$177.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	26	$562.34	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $549.54 / $2,290.87	Professional		$269.15	$549.54	$2,290.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $134.90 / $524.81	Professional	26	$64.57	$134.90	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $1,380.38	Professional		$257.04	$501.19	$1,380.38
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $549.54 / $549.54	Facility	26	$141.25	$549.54	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,318.26 / $2,344.23	Professional		$309.03	$1,318.26	$2,344.23
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $316.23 / $524.81	Professional	26	$75.86	$316.23	$524.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,698.24	Professional		$741.31	$1,122.02	$1,698.24
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $204.17 / $218.78 / $281.84	Professional	26	$204.17	$218.78	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $891.25	Professional		$234.42	$416.87	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $100.00 / $229.09	Professional	26	$64.57	$100.00	$229.09