Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,202.26	Professional		$363.08	$549.54	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $117.49 / $309.03	Professional	26	$63.10	$117.49	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $954.99 / $2,187.76	Professional		$281.84	$954.99	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $173.78 / $467.74	Professional	26	$31.62	$173.78	$467.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $269.15 / $398.11	Facility	26	$234.42	$269.15	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $660.69 / $1,380.38	Professional		$194.98	$660.69	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $100.00 / $229.09	Professional	26	$35.48	$100.00	$229.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,479.11	Professional		$1,318.26	$1,318.26	$1,479.11
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $204.17 / $204.17 / $229.09	Professional	26	$204.17	$204.17	$229.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $630.96 / $3,235.94	Professional		$281.84	$630.96	$3,235.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $125.89 / $660.69	Professional	26	$57.54	$125.89	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $85.11	Professional		$32.36	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,122.02 / $1,584.89	Professional		$331.13	$1,122.02	$1,584.89
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $478.63	Facility	26	$141.25	$141.25	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $3,019.95 / $3,235.94	Professional		$213.80	$3,019.95	$3,235.94
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $389.05 / $660.69	Professional	26	$35.48	$389.05	$660.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $2,511.89	Professional		$758.58	$758.58	$2,511.89
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $58.88 / $281.84	Professional	26	$58.88	$58.88	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $1,174.90	Professional		$245.47	$416.87	$1,174.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $77.62 / $199.53	Professional	26	$47.86	$77.62	$199.53