Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $91.20	Facility	26	$64.57	$64.57	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $181.97	Professional		$89.13	$117.49	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $562.34	Professional		$107.15	$173.78	$562.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $131.83 / $213.80	Facility	26	$114.82	$131.83	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $263.03 / $457.09	Professional		$109.65	$263.03	$457.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $331.13	Professional		$204.17	$245.47	$331.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	26	$194.98	$194.98	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $1,288.25	Professional		$125.89	$257.04	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $281.84 / $891.25	Professional		$147.91	$281.84	$891.25
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $275.42 / $275.42	Facility	26	$100.00	$275.42	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $741.31 / $1,318.26	Professional		$117.49	$741.31	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $537.03 / $724.44	Professional		$190.55	$537.03	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $436.52	Professional		$112.20	$177.83	$436.52