Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $34.67	Facility	26	$10.00	$10.00	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $93.33	Professional		$41.69	$50.12	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $158.49	Professional		$48.98	$67.61	$158.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $27.54 / $45.71	Facility	26	$7.59	$27.54	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $165.96	Professional		$54.95	$112.20	$165.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $141.25	Professional		$83.18	$100.00	$141.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $169.82 / $169.82	Facility	26	$25.12	$169.82	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $109.65 / $616.60	Professional		$53.70	$109.65	$616.60
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 $58.88 / $117.49 / $239.88	Professional		$58.88	$117.49	$239.88
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $169.82 / $169.82	Facility	26	$100.00	$169.82	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $501.19 / $616.60	Professional		$56.23	$501.19	$616.60
Security Health Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $15.85 / $15.85	Facility	26	$15.85	$15.85	$15.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $165.96	Professional		$72.44	$100.00	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $162.18	Professional		$51.29	$79.43	$162.18