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 $169.82 / $234.42 / $436.52	Professional		$169.82	$234.42	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $1,230.27	Professional		$204.17	$323.59	$1,230.27
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 $354.81 / $812.83 / $1,288.25	Professional		$354.81	$812.83	$1,288.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $691.83	Professional		$489.78	$549.54	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $1,548.82	Professional		$223.87	$426.58	$1,548.82
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 $354.81 / $588.84 / $891.25	Professional		$354.81	$588.84	$891.25
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 $354.81 / $1,047.13 / $1,548.82	Professional		$354.81	$1,047.13	$1,548.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,513.56 / $1,737.80	Professional		$630.96	$1,513.56	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $870.96	Professional		$223.87	$371.54	$870.96