Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $177.83 / $194.98	Facility	26	$177.83	$177.83	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $870.96	Professional		$281.84	$426.58	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $288.40	Professional	26	$85.11	$138.04	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $1,621.81	Professional		$275.42	$467.74	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $128.82 / $478.63	Professional	26	$83.18	$128.82	$478.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $257.04 / $416.87	Facility	26	$223.87	$257.04	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $741.31 / $1,148.15	Professional		$295.12	$741.31	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $186.21 / $338.84	Professional	26	$77.62	$186.21	$338.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $831.76	Professional		$512.86	$616.60	$831.76
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $186.21 / $251.19	Professional	26	$154.88	$186.21	$251.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $776.25 / $3,467.37	Professional		$363.08	$776.25	$3,467.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $199.53 / $707.95	Professional	26	$93.33	$199.53	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $691.83 / $1,862.09	Professional		$354.81	$691.83	$1,862.09
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $776.25 / $776.25	Facility	26	$194.98	$776.25	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,995.26 / $3,548.13	Professional		$416.87	$1,995.26	$3,548.13
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $436.52 / $707.95	Professional	26	$109.65	$436.52	$707.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $2,454.71	Professional		$1,584.89	$1,778.28	$2,454.71
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $363.08 / $524.81 / $660.69	Professional	26	$363.08	$524.81	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $1,258.93	Professional		$316.23	$588.84	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $151.36 / $323.59	Professional	26	$91.20	$151.36	$323.59