Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.67 / $140.81 / $140.81	Facility	26	$100.67	$140.81	$140.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $168.98 / $273.55	Professional		$116.42	$168.98	$273.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $289.57 / $797.96	Professional		$127.83	$289.57	$797.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $175.72 / $205.34 / $272.92	Facility	26	$175.72	$205.34	$272.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $466.02 / $529.55	Professional		$141.66	$466.02	$529.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $308.83 / $308.83 / $308.83	Facility	26	$308.83	$308.83	$308.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $306.22 / $1,209.00	Professional		$136.10	$306.22	$1,209.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $80.11 / $188.51	Professional		$38.20	$80.11	$188.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.70 / $387.57 / $563.50	Professional		$258.70	$387.57	$563.50
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $160.19 / $308.83 / $308.83	Facility	26	$160.19	$308.83	$308.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $215.90 / $608.04 / $1,209.00	Professional		$215.90	$608.04	$1,209.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $265.39 / $830.37 / $830.37	Professional		$265.39	$830.37	$830.37
United Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $285.58 / $532.96	Professional		$132.91	$285.58	$532.96