Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $186.21	Facility	26	$53.70	$53.70	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $275.42	Professional		$95.50	$117.49	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $398.11	Professional		$107.15	$165.96	$398.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $154.88 / $245.47	Facility	26	$131.83	$154.88	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $295.12 / $407.38	Professional		$123.03	$295.12	$407.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $309.03	Professional		$194.98	$229.09	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $239.88 / $794.33	Professional		$100.00	$239.88	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $398.11	Professional		$154.88	$281.84	$398.11
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $316.23 / $316.23	Facility	26	$117.49	$316.23	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $588.84 / $794.33	Professional		$131.83	$588.84	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $457.09 / $588.84	Professional		$177.83	$457.09	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $407.38	Professional		$102.33	$181.97	$407.38