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 $269.15 / $426.58 / $741.31	Professional		$269.15	$426.58	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $1,548.82	Professional		$263.03	$467.74	$1,548.82
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 / $1,096.48	Professional		$346.74	$724.44	$1,096.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $870.96	Professional		$489.78	$588.84	$870.96
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 $354.81 / $776.25 / $3,311.31	Professional		$354.81	$776.25	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $660.69 / $1,318.26	Professional		$338.84	$660.69	$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 $407.38 / $1,905.46 / $3,467.37	Professional		$407.38	$1,905.46	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,691.53	Professional		$1,621.81	$1,905.46	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,288.25	Professional		$323.59	$602.56	$1,288.25