Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $177.83 / $281.84	Facility	26	$162.18	$177.83	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $676.08	Professional		$190.55	$316.23	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $120.23 / $309.03	Professional	26	$77.62	$120.23	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $1,737.80	Professional		$295.12	$467.74	$1,737.80
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 $309.03 / $630.96 / $1,230.27	Professional		$309.03	$630.96	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $177.83 / $346.74	Professional	26	$77.62	$177.83	$346.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $912.01	Professional		$549.54	$660.69	$912.01
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 $380.19 / $741.31 / $2,884.03	Professional		$380.19	$741.31	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $190.55 / $537.03	Professional	26	$91.20	$190.55	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $1,318.26	Professional		$389.05	$741.31	$1,318.26
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 $389.05 / $1,659.59 / $2,951.21	Professional		$389.05	$1,659.59	$2,951.21
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $436.52 / $537.03	Professional	26	$104.71	$436.52	$537.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,041.74	Professional		$1,023.29	$1,479.11	$2,041.74
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $295.12 / $398.11	Professional	26	$263.03	$295.12	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $1,202.26	Professional		$331.13	$549.54	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $138.04 / $323.59	Professional	26	$91.20	$138.04	$323.59