Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $194.98	Facility	26	$56.23	$56.23	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $229.09	Professional		$79.43	$95.50	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $295.12	Professional		$91.20	$128.82	$295.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $162.18 / $257.04	Facility	26	$138.04	$162.18	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $323.59	Professional		$104.71	$234.42	$323.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $245.47	Professional		$158.49	$186.21	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $588.84	Professional		$104.71	$186.21	$588.84
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 $123.03 / $208.93 / $309.03	Professional		$123.03	$208.93	$309.03
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $331.13	Facility	26	$120.23	$120.23	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $467.74 / $588.84	Professional		$104.71	$467.74	$588.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $302.00 / $467.74	Professional		$138.04	$302.00	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $323.59	Professional		$100.00	$158.49	$323.59