Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $144.54	Facility	26	$102.33	$102.33	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $501.19	Professional		$177.83	$251.19	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $1,202.26	Professional		$213.80	$346.74	$1,202.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $208.93 / $331.13	Facility	26	$177.83	$208.93	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $512.86 / $891.25	Professional		$223.87	$512.86	$891.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $645.65	Professional		$398.11	$478.63	$645.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	26	$645.65	$645.65	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $794.33 / $1,479.11	Professional		$281.84	$794.33	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $724.44	Professional		$275.42	$501.19	$724.44
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $630.96 / $630.96	Facility	26	$158.49	$630.96	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,174.90 / $1,445.44	Professional		$295.12	$1,174.90	$1,445.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,862.09	Professional		$1,230.27	$1,380.38	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $602.56 / $1,380.38	Professional		$257.04	$602.56	$1,380.38