Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.66 / $108.16 / $108.16	Facility	26	$77.66	$108.16	$108.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $178.79 / $387.52	Professional		$104.84	$178.79	$387.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $273.25 / $741.91	Professional		$115.35	$273.25	$741.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.16 / $157.94 / $209.93	Facility	26	$135.16	$157.94	$209.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.80 / $420.42 / $602.71	Professional		$167.80	$420.42	$602.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $245.13 / $245.13 / $245.13	Facility	26	$245.13	$245.13	$245.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $401.24 / $3,099.85	Professional		$150.63	$401.24	$3,099.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $92.31 / $213.35	Professional		$39.42	$92.31	$213.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.65 / $351.54 / $596.51	Professional		$234.65	$351.54	$596.51
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $123.38 / $245.13 / $245.13	Facility	26	$123.38	$245.13	$245.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.92 / $1,688.39 / $3,099.85	Professional		$199.92	$1,688.39	$3,099.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $297.05 / $749.17 / $749.17	Professional		$297.05	$749.17	$749.17
United Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $313.12 / $931.43	Professional		$140.54	$313.12	$931.43