Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.50 / $56.30 / $56.30	Facility	26	$40.50	$56.30	$56.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $143.55 / $276.52	Professional		$110.26	$143.55	$276.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.59 / $266.18 / $748.38	Professional		$114.59	$266.18	$748.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.19 / $83.19 / $110.57	Facility	26	$71.19	$83.19	$110.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $474.60 / $539.30	Professional		$119.31	$474.60	$539.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.62 / $122.62 / $122.62	Facility	26	$122.62	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $294.07 / $891.71	Professional		$128.47	$294.07	$891.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $103.95 / $250.42	Professional		$55.31	$103.95	$250.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $236.70 / $310.00 / $458.51	Professional		$236.70	$310.00	$458.51
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $122.62 / $122.62	Facility	26	$100.00	$122.62	$122.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.88 / $610.10 / $891.71	Professional		$199.88	$610.10	$891.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $228.70 / $782.78 / $845.63	Professional		$228.70	$782.78	$845.63
United Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $236.72 / $494.18	Professional		$128.07	$236.72	$494.18