Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $56.23	Facility	26	$39.81	$39.81	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $251.19	Professional		$85.11	$128.82	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $630.96	Professional		$114.82	$204.17	$630.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $83.18 / $131.83	Facility	26	$70.79	$83.18	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $288.40 / $549.54	Professional		$114.82	$288.40	$549.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $380.19	Professional		$239.88	$288.40	$380.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $891.25	Professional		$117.49	$234.42	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $457.09	Professional		$173.78	$316.23	$457.09
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $173.78 / $173.78	Facility	26	$100.00	$173.78	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $616.60 / $891.25	Professional		$141.25	$616.60	$891.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $630.96 / $851.14	Professional		$229.09	$630.96	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $398.11	Professional		$117.49	$169.82	$398.11