Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $91.20 / $109.65	Facility	26	$77.62	$91.20	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $257.04	Professional		$104.71	$141.25	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $676.08	Professional		$120.23	$218.78	$676.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $158.49 / $257.04	Facility	26	$138.04	$158.49	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $371.54 / $549.54	Professional		$141.25	$371.54	$549.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $371.54	Professional		$229.09	$275.42	$371.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	26	$245.47	$245.47	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $3,090.30	Professional		$158.49	$346.74	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $870.96	Professional		$169.82	$331.13	$870.96
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $331.13 / $331.13	Facility	26	$123.03	$331.13	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,778.28 / $3,162.28	Professional		$181.97	$1,778.28	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $616.60 / $870.96	Professional		$275.42	$616.60	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $758.58	Professional		$141.25	$251.19	$758.58