Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $301.20 / $301.20 / $425.99	Facility	26	$301.20	$301.20	$425.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.09 / $870.24 / $1,090.26	Professional		$630.09	$870.24	$1,090.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $204.99 / $298.17 / $319.52	Professional	26	$204.99	$298.17	$319.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.12 / $1,190.26 / $3,951.56	Professional		$579.12	$1,190.26	$3,951.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $194.32 / $397.83 / $1,337.79	Professional	26	$194.32	$397.83	$1,337.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $529.86 / $619.17 / $949.84	Facility	26	$529.86	$619.17	$949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.44 / $2,707.31 / $3,076.49	Professional		$798.44	$2,707.31	$3,076.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $259.06 / $895.18 / $1,017.25	Professional	26	$259.06	$895.18	$1,017.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $649.05 / $1,399.58 / $3,771.72	Professional		$649.05	$1,399.58	$3,771.72
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $226.63 / $477.08 / $1,240.24	Professional	26	$226.63	$477.08	$1,240.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.12 / $382.59 / $1,114.66	Professional		$160.12	$382.59	$1,114.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $774.17 / $1,449.03 / $2,574.94	Professional		$774.17	$1,449.03	$2,574.94
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $915.88 / $915.88 / $915.88	Facility	26	$915.88	$915.88	$915.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $896.89 / $2,916.10 / $3,771.72	Professional		$896.89	$2,916.10	$3,771.72
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $296.56 / $996.35 / $1,240.24	Professional	26	$296.56	$996.35	$1,240.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,998.01 / $3,717.49 / $3,717.49	Professional		$1,998.01	$3,717.49	$3,717.49
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $566.41 / $666.37 / $920.84	Professional	26	$566.41	$666.37	$920.84
United Facility/Professional Professional Modifier Low / Median / High Price $649.05 / $1,331.72 / $2,634.77	Professional		$649.05	$1,331.72	$2,634.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $226.63 / $473.92 / $885.55	Professional	26	$226.63	$473.92	$885.55