Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $177.83	Facility	26	$125.89	$125.89	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $977.24	Professional		$537.03	$645.65	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $3,715.35	Professional		$630.96	$977.24	$3,715.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $257.04 / $407.38	Facility	26	$218.78	$257.04	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,344.23 / $2,630.27	Professional		$977.24	$2,344.23	$2,630.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $1,778.28	Professional		$1,258.93	$1,479.11	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,380.38 / $4,365.16	Professional		$758.58	$1,380.38	$4,365.16
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 $977.24 / $1,479.11 / $2,089.30	Professional		$977.24	$1,479.11	$2,089.30
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $524.81 / $524.81	Facility	26	$194.98	$524.81	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $3,467.37 / $4,365.16	Professional		$912.01	$3,467.37	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,073.80 / $5,248.07	Professional		$1,659.59	$4,073.80	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,318.26 / $2,884.03	Professional		$741.31	$1,318.26	$2,884.03