Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.66 / $89.30 / $107.69	Facility	26	$77.66	$89.30	$107.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $176.62 / $242.35	Professional		$103.69	$176.62	$242.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.95 / $271.01 / $733.67	Professional		$113.95	$271.01	$733.67
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 $164.55 / $412.62 / $601.51	Professional		$164.55	$412.62	$601.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $239.19 / $239.19 / $239.19	Facility	26	$239.19	$239.19	$239.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $396.38 / $3,401.00	Professional		$150.37	$396.38	$3,401.00
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 $228.80 / $342.78 / $880.19	Professional		$228.80	$342.78	$880.19
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $123.15 / $239.19 / $239.19	Facility	26	$123.15	$239.19	$239.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $1,684.98 / $3,401.00	Professional		$196.21	$1,684.98	$3,401.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $251.79 / $735.24 / $735.24	Professional		$251.79	$735.24	$735.24
United Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $302.00 / $730.56	Professional		$133.16	$302.00	$730.56