Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $758.58 / $758.58	Facility	26	$660.69	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,951.21	Professional		$1,148.15	$1,479.11	$2,951.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $575.44 / $1,905.46	Professional	26	$346.74	$575.44	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $6,760.83	Professional		$1,202.26	$1,995.26	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $562.34 / $1,905.46	Professional	26	$354.81	$562.34	$1,905.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $891.25 / $1,047.13 / $1,698.24	Facility	26	$891.25	$1,047.13	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $4,365.16	Professional		$1,995.26	$3,548.13	$4,365.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $562.34 / $1,023.29 / $1,230.27	Professional	26	$562.34	$1,023.29	$1,230.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $3,467.37	Professional		$2,187.76	$2,951.21	$3,467.37
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $645.65 / $870.96 / $1,023.29	Professional	26	$645.65	$870.96	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $6,918.31	Professional		$1,479.11	$2,398.83	$6,918.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $724.44 / $2,089.30	Professional	26	$436.52	$724.44	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $2,630.27	Professional		$32.36	$58.88	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $4,265.80	Professional		$2,344.23	$2,884.03	$4,265.80
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $3,311.31	Facility	26	$794.33	$794.33	$3,311.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $6,165.95 / $8,317.64	Professional		$1,737.80	$6,165.95	$8,317.64
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $524.81 / $1,778.28 / $2,290.87	Professional	26	$524.81	$1,778.28	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,511.38 / $9,120.11	Professional		$5,754.40	$8,511.38	$9,120.11
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,584.89 / $1,862.09 / $2,041.74	Professional	26	$1,584.89	$1,862.09	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $5,495.41	Professional		$1,445.44	$2,398.83	$5,495.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $724.44 / $1,584.89	Professional	26	$426.58	$724.44	$1,584.89