Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $141.25	Facility	26	$100.00	$100.00	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $275.42	Professional		$107.15	$141.25	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $691.83	Professional		$128.82	$199.53	$691.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $204.17 / $331.13	Facility	26	$173.78	$204.17	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $537.03	Professional		$131.83	$281.84	$537.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $398.11	Professional		$239.88	$288.40	$398.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	26	$309.03	$309.03	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $1,202.26	Professional		$128.82	$263.03	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $338.84 / $575.44	Professional		$173.78	$338.84	$575.44
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $426.58 / $426.58	Facility	26	$154.88	$426.58	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $758.58 / $1,202.26	Professional		$162.18	$758.58	$1,202.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $645.65 / $891.25	Professional		$263.03	$645.65	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $436.52	Professional		$128.82	$194.98	$436.52