Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $123.03 / $123.03	Facility	26	$107.15	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $281.84	Professional		$107.15	$134.90	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $602.56	Professional		$109.65	$165.96	$602.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $165.96 / $263.03	Facility	26	$141.25	$165.96	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $398.11 / $457.09	Professional		$158.49	$398.11	$457.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $309.03	Professional		$199.53	$257.04	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $1,548.82	Professional		$117.49	$218.78	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $630.96	Professional		$147.91	$309.03	$630.96
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $346.74 / $346.74	Facility	26	$128.82	$346.74	$346.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $588.84 / $1,548.82	Professional		$158.49	$588.84	$1,548.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $851.14	Professional		$295.12	$489.78	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $426.58	Professional		$114.82	$158.49	$426.58