Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $293.67 / $293.67 / $325.35	Facility	26	$293.67	$293.67	$325.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.24 / $715.57 / $1,459.50	Professional		$452.24	$715.57	$1,459.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.98 / $1,062.42 / $3,440.54	Professional		$427.98	$1,062.42	$3,440.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $367.66 / $429.64 / $571.02	Facility	26	$367.66	$429.64	$571.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.73 / $1,537.35 / $1,746.99	Professional		$612.73	$1,537.35	$1,746.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,307.92 / $1,307.92 / $1,307.92	Facility	26	$1,307.92	$1,307.92	$1,307.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $607.41 / $1,398.00 / $4,924.22	Professional		$607.41	$1,398.00	$4,924.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $269.86 / $784.72	Professional		$107.97	$269.86	$784.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $830.05 / $1,243.54 / $1,858.94	Professional		$830.05	$1,243.54	$1,858.94
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $333.93 / $1,307.92 / $1,307.92	Facility	26	$333.93	$1,307.92	$1,307.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $647.49 / $2,410.35 / $4,924.22	Professional		$647.49	$2,410.35	$4,924.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,545.21 / $2,739.36 / $3,207.39	Professional		$2,545.21	$2,739.36	$3,207.39
United Facility/Professional Professional Modifier Low / Median / High Price $549.55 / $1,273.44 / $2,352.60	Professional		$549.55	$1,273.44	$2,352.60