Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $52.48	Facility	26	$15.14	$15.14	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $109.65	Professional		$43.65	$52.48	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $165.96	Professional		$48.98	$69.18	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $40.74 / $67.61	Facility	26	$11.48	$40.74	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $158.49	Professional		$54.95	$114.82	$158.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $151.36	Professional		$87.10	$107.15	$151.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $100.00 / $100.00	Facility	26	$33.88	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $501.19	Professional		$53.70	$93.33	$501.19
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 $67.61 / $128.82 / $190.55	Professional		$67.61	$128.82	$190.55
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $100.00 / $100.00	Facility	26	$33.11	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $251.19 / $501.19	Professional		$57.54	$251.19	$501.19
Security Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $22.39 / $22.39	Facility	26	$22.39	$22.39	$22.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $177.83	Professional		$77.62	$107.15	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $158.49	Professional		$51.29	$74.13	$158.49