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 $104.71 / $138.04 / $302.00	Professional		$104.71	$138.04	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $724.44	Professional		$131.83	$204.17	$724.44
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 $194.98 / $436.52 / $549.54	Professional		$194.98	$436.52	$549.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $380.19	Professional		$269.15	$316.23	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $331.13 / $1,122.02	Professional		$154.88	$331.13	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $588.84	Professional		$213.80	$316.23	$588.84
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 $218.78 / $676.08 / $1,122.02	Professional		$218.78	$676.08	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $1,023.29	Professional		$457.09	$831.76	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $602.56	Professional		$141.25	$251.19	$602.56