Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $75.86	Facility	26	$53.70	$53.70	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $263.03	Professional		$141.25	$165.96	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $954.99	Professional		$169.82	$263.03	$954.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $109.65 / $177.83	Facility	26	$95.50	$109.65	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $616.60 / $707.95	Professional		$263.03	$616.60	$707.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $478.63	Professional		$338.84	$398.11	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $1,148.15	Professional		$194.98	$363.08	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $758.58	Professional		$257.04	$407.38	$758.58
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $229.09 / $229.09	Facility	26	$100.00	$229.09	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $912.01 / $1,148.15	Professional		$245.47	$912.01	$1,148.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,096.48 / $1,380.38	Professional		$436.52	$1,096.48	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $776.25	Professional		$190.55	$323.59	$776.25