Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $89.13 / $107.15	Facility	26	$75.86	$89.13	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $288.40	Professional		$95.50	$141.25	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $616.60	Professional		$109.65	$204.17	$616.60
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 $134.90 / $354.81 / $549.54	Professional		$134.90	$354.81	$549.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $338.84	Professional		$204.17	$245.47	$338.84
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 $144.54 / $316.23 / $3,388.44	Professional		$144.54	$316.23	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $288.40 / $870.96	Professional		$147.91	$288.40	$870.96
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $323.59 / $323.59	Facility	26	$120.23	$323.59	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,778.28 / $3,388.44	Professional		$162.18	$1,778.28	$3,388.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $549.54 / $812.83	Professional		$245.47	$549.54	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $707.95	Professional		$128.82	$234.42	$707.95