Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $501.19 / $954.99	Facility	26	$501.19	$501.19	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,398.83	Professional		$933.25	$1,174.90	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $5,495.41	Professional		$977.24	$1,621.81	$5,495.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $776.25 / $1,258.93	Facility	26	$676.08	$776.25	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $3,548.13	Professional		$1,621.81	$2,884.03	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $2,818.38	Professional		$1,778.28	$2,398.83	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $5,623.41	Professional		$1,202.26	$1,949.84	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $2,238.72	Professional		$32.36	$58.88	$2,238.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,467.37	Professional		$1,905.46	$2,344.23	$3,467.37
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $602.56 / $602.56 / $2,454.71	Facility	26	$602.56	$602.56	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $5,011.87 / $6,606.93	Professional		$1,412.54	$5,011.87	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $7,413.10	Professional		$4,677.35	$6,918.31	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $4,365.16	Professional		$1,148.15	$1,995.26	$4,365.16