Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.00 / $106.49 / $106.49	Facility	26	$77.00	$106.49	$106.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.91 / $211.88 / $423.26	Professional		$123.91	$211.88	$423.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $315.39 / $864.23	Professional		$136.69	$315.39	$864.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.37 / $155.85 / $207.14	Facility	26	$133.37	$155.85	$207.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.97 / $500.91 / $601.91	Professional		$198.97	$500.91	$601.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $242.28 / $242.28 / $242.28	Facility	26	$242.28	$242.28	$242.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $466.14 / $3,098.01	Professional		$174.20	$466.14	$3,098.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $123.56 / $283.76	Professional		$57.31	$123.56	$283.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $421.66 / $1,294.34	Professional		$281.45	$421.66	$1,294.34
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $121.25 / $242.28 / $242.28	Facility	26	$121.25	$242.28	$242.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $238.20 / $1,687.24 / $3,098.01	Professional		$238.20	$1,687.24	$3,098.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $343.94 / $892.56 / $892.56	Professional		$343.94	$892.56	$892.56
United Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $342.98 / $845.06	Professional		$158.66	$342.98	$845.06