Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $52.48	Facility	26	$37.15	$37.15	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $245.47	Professional		$83.18	$117.49	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $562.34	Professional		$100.00	$186.21	$562.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $75.86 / $120.23	Facility	26	$64.57	$75.86	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $316.23 / $524.81	Professional		$120.23	$316.23	$524.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $316.23	Professional		$194.98	$229.09	$316.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	26	$275.42	$275.42	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $288.40 / $2,951.21	Professional		$131.83	$288.40	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $1,548.82	Professional		$144.54	$281.84	$1,548.82
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $275.42 / $275.42	Facility	26	$100.00	$275.42	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,659.59 / $3,019.95	Professional		$151.36	$1,659.59	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $724.44	Professional		$257.04	$501.19	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $630.96	Professional		$117.49	$208.93	$630.96