Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $158.49	Facility	26	$109.65	$109.65	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $275.42	Professional		$112.20	$144.54	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $776.25	Professional		$141.25	$218.78	$776.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $229.09 / $363.08	Facility	26	$194.98	$229.09	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $489.78 / $776.25	Professional		$218.78	$489.78	$776.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $416.87	Professional		$302.00	$346.74	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $912.01	Professional		$162.18	$302.00	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $645.65	Professional		$245.47	$354.81	$645.65
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $173.78 / $457.09	Facility	26	$173.78	$173.78	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $724.44 / $912.01	Professional		$218.78	$724.44	$912.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $912.01 / $1,096.48	Professional		$489.78	$912.01	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $645.65	Professional		$151.36	$275.42	$645.65