Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $666.82 / $666.82 / $1,285.08	Facility	26	$666.82	$666.82	$1,285.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.30 / $1,558.08 / $2,362.30	Professional		$1,195.30	$1,558.08	$2,362.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $343.99 / $514.34 / $1,988.00	Professional	26	$343.99	$514.34	$1,988.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,199.71 / $2,424.21 / $8,464.79	Professional		$1,199.71	$2,424.21	$8,464.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $357.66 / $676.82 / $2,440.69	Professional	26	$357.66	$676.82	$2,440.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $534.47 / $1,566.57 / $2,421.44	Professional		$534.47	$1,566.57	$2,421.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $901.12 / $1,053.03 / $1,698.50	Facility	26	$901.12	$1,053.03	$1,698.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,051.14 / $3,472.21 / $5,049.50	Professional		$2,051.14	$3,472.21	$5,049.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $640.92 / $992.46 / $1,435.97	Professional	26	$640.92	$992.46	$1,435.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,439.18 / $2,573.08 / $6,925.80	Professional		$1,439.18	$2,573.08	$6,925.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $427.60 / $798.75 / $2,087.92	Professional	26	$427.60	$798.75	$2,087.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.04 / $1,014.57 / $2,506.59	Professional		$299.04	$1,014.57	$2,506.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,512.12 / $3,197.56 / $4,304.22	Professional		$2,512.12	$3,197.56	$4,304.22
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $3,363.92 / $3,363.92 / $3,363.92	Facility	26	$3,363.92	$3,363.92	$3,363.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,863.69 / $5,176.93 / $8,224.96	Professional		$1,863.69	$5,176.93	$8,224.96
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $532.71 / $1,479.74 / $2,275.66	Professional	26	$532.71	$1,479.74	$2,275.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,316.14 / $8,532.64 / $8,532.64	Professional		$5,316.14	$8,532.64	$8,532.64
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,572.87 / $1,850.44 / $1,995.09	Professional	26	$1,572.87	$1,850.44	$1,995.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,439.18 / $3,026.17 / $6,498.40	Professional		$1,439.18	$3,026.17	$6,498.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $426.30 / $815.23 / $1,988.90	Professional	26	$426.30	$815.23	$1,988.90