Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $693.65 / $693.65 / $981.79	Facility	26	$693.65	$693.65	$981.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $1,098.39 / $1,616.86	Professional		$740.75	$1,098.39	$1,616.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $472.03 / $638.77 / $738.69	Professional	26	$472.03	$638.77	$738.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $832.99 / $1,897.72 / $5,554.96	Professional		$832.99	$1,897.72	$5,554.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $447.52 / $1,005.89 / $2,862.97	Professional	26	$447.52	$1,005.89	$2,862.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,221.02 / $1,426.86 / $2,188.83	Facility	26	$1,221.02	$1,426.86	$2,188.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.96 / $4,125.30 / $4,687.84	Professional		$1,030.96	$4,125.30	$4,687.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $663.42 / $2,064.67 / $2,346.23	Professional	26	$663.42	$2,064.67	$2,346.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $943.25 / $2,014.73 / $6,280.00	Professional		$943.25	$2,014.73	$6,280.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $551.15 / $1,213.26 / $5,024.00	Professional	26	$551.15	$1,213.26	$5,024.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $789.22 / $1,762.06	Professional		$280.50	$789.22	$1,762.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $570.36 / $2,213.37 / $3,900.17	Professional		$570.36	$2,213.37	$3,900.17
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $4,331.35 / $4,331.35 / $4,331.35	Facility	26	$4,331.35	$4,331.35	$4,331.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,542.99 / $4,235.64 / $6,280.00	Professional		$1,542.99	$4,235.64	$6,280.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $772.25 / $2,296.44 / $5,024.00	Professional	26	$772.25	$2,296.44	$5,024.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,756.28 / $5,664.64 / $5,664.64	Professional		$2,756.28	$5,664.64	$5,664.64
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,535.18 / $1,863.54 / $3,380.65	Professional	26	$1,535.18	$1,863.54	$3,380.65
United Facility/Professional Professional Modifier Low / Median / High Price $925.91 / $1,902.22 / $3,995.91	Professional		$925.91	$1,902.22	$3,995.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $522.48 / $1,068.95 / $2,166.46	Professional	26	$522.48	$1,068.95	$2,166.46