Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $162.18	Facility	26	$147.91	$147.91	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,000.00	Professional		$416.87	$524.81	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $97.72 / $229.09	Professional	26	$70.79	$97.72	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $2,187.76	Professional		$416.87	$645.65	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $100.00 / $363.08	Professional	26	$67.61	$100.00	$363.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $218.78 / $346.74	Facility	26	$186.21	$218.78	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,513.56 / $1,737.80	Professional		$602.56	$1,513.56	$1,737.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $251.19 / $288.40	Professional	26	$102.33	$251.19	$288.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,174.90	Professional		$758.58	$977.24	$1,174.90
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $165.96 / $199.53	Professional	26	$128.82	$165.96	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $2,511.89	Professional		$426.58	$724.44	$2,511.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $125.89 / $407.38	Professional	26	$72.44	$125.89	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,000.00 / $1,698.24	Professional		$549.54	$1,000.00	$1,698.24
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $645.65	Facility	26	$165.96	$165.96	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $2,238.72 / $2,754.23	Professional		$602.56	$2,238.72	$2,754.23
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $363.08 / $436.52	Professional	26	$102.33	$363.08	$436.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,630.78	Professional		$2,137.96	$2,691.53	$3,630.78
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $302.00 / $346.74 / $478.63	Professional	26	$302.00	$346.74	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $1,659.59	Professional		$407.38	$575.44	$1,659.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $95.50 / $269.15	Professional	26	$67.61	$95.50	$269.15