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 $169.82 / $199.53 / $302.00	Professional		$169.82	$199.53	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $676.08	Professional		$194.98	$288.40	$676.08
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 $208.93 / $489.78 / $707.95	Professional		$208.93	$489.78	$707.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $512.86	Professional		$323.59	$380.19	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $407.38 / $1,318.26	Professional		$169.82	$407.38	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $645.65	Professional		$257.04	$467.74	$645.65
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $331.13 / $331.13	Facility	26	$123.03	$331.13	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,023.29 / $1,318.26	Professional		$223.87	$1,023.29	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,071.52	Professional		$446.68	$660.69	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $707.95	Professional		$169.82	$316.23	$707.95