Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $177.83	Facility	26	$162.18	$162.18	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $691.83	Professional		$275.42	$426.58	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $1,584.89	Professional		$269.15	$457.09	$1,584.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $234.42 / $371.54	Facility	26	$199.53	$234.42	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $724.44 / $1,122.02	Professional		$346.74	$724.44	$1,122.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $812.83	Professional		$501.19	$602.56	$812.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	26	$724.44	$724.44	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $776.25 / $3,311.31	Professional		$363.08	$776.25	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $1,318.26	Professional		$346.74	$676.08	$1,318.26
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $707.95 / $707.95	Facility	26	$177.83	$707.95	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,905.46 / $3,467.37	Professional		$416.87	$1,905.46	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,511.89	Professional		$1,584.89	$1,819.70	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,288.25	Professional		$323.59	$602.56	$1,288.25