Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $50.12	Facility	26	$36.31	$36.31	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $275.42	Professional		$104.71	$144.54	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $302.00 / $851.14	Professional		$131.83	$302.00	$851.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $72.44 / $114.82	Facility	26	$61.66	$72.44	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $263.03 / $549.54	Professional		$77.62	$263.03	$549.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $389.05	Professional		$239.88	$295.12	$389.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $281.84 / $891.25	Professional		$85.11	$281.84	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $446.68	Professional		$173.78	$309.03	$446.68
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $147.91 / $147.91	Facility	26	$100.00	$147.91	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $630.96 / $891.25	Professional		$109.65	$630.96	$891.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $851.14 / $1,023.29	Professional		$363.08	$851.14	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $524.81	Professional		$97.72	$186.21	$524.81