Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $177.83	Facility	26	$128.82	$128.82	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $758.58	Professional		$151.36	$275.42	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $933.25	Professional		$186.21	$288.40	$933.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $263.03 / $416.87	Facility	26	$223.87	$263.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $446.68 / $794.33	Professional		$186.21	$446.68	$794.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $537.03	Professional		$346.74	$398.11	$537.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $1,230.27	Professional		$199.53	$363.08	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $457.09 / $676.08	Professional		$181.97	$457.09	$676.08
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $537.03 / $537.03	Facility	26	$199.53	$537.03	$537.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $977.24 / $1,230.27	Professional		$177.83	$977.24	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $741.31 / $1,230.27	Professional		$275.42	$741.31	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $660.69	Professional		$199.53	$269.15	$660.69