Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $107.15	Facility	26	$77.62	$77.62	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $346.74	Professional		$117.49	$169.82	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $758.58	Professional		$138.04	$229.09	$758.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $154.88 / $251.19	Facility	26	$134.90	$154.88	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $416.87 / $588.84	Professional		$158.49	$416.87	$588.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $426.58	Professional		$263.03	$316.23	$426.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	26	$239.88	$239.88	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $3,090.30	Professional		$173.78	$380.19	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $1,288.25	Professional		$186.21	$363.08	$1,288.25
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $323.59 / $323.59	Facility	26	$117.49	$323.59	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $1,778.28 / $3,162.28	Professional		$208.93	$1,778.28	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $977.24	Professional		$346.74	$660.69	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $776.25	Professional		$154.88	$269.15	$776.25