Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $67.61 / $81.28	Facility	26	$57.54	$67.61	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $251.19	Professional		$56.23	$100.00	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $501.19	Professional		$67.61	$141.25	$501.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $204.17 / $758.58	Professional	50	$100.00	$204.17	$758.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $120.23 / $194.98	Facility	26	$104.71	$120.23	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $281.84	Professional		$97.72	$208.93	$281.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $204.17	Professional		$123.03	$141.25	$204.17
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $213.80 / $309.03	Professional	50	$186.21	$213.80	$309.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $891.25	Professional		$107.15	$223.87	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $302.00	Professional		$89.13	$173.78	$302.00
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $331.13 / $331.13	Facility	26	$91.20	$331.13	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $537.03 / $912.01	Professional		$97.72	$537.03	$912.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $616.60	Professional		$338.84	$436.52	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $363.08	Professional		$85.11	$177.83	$363.08