Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.98 / $90.83 / $110.45	Facility	26	$78.98	$90.83	$110.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $144.96 / $266.16	Professional		$109.87	$144.96	$266.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $286.27 / $774.99	Professional		$121.03	$286.27	$774.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $136.97 / $160.06 / $212.73	Facility	26	$136.97	$160.06	$212.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.31 / $438.38 / $602.97	Professional		$175.31	$438.38	$602.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $243.24 / $243.24 / $243.24	Facility	26	$243.24	$243.24	$243.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $418.47 / $3,109.00	Professional		$159.66	$418.47	$3,109.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $102.71 / $248.25	Professional		$38.20	$102.71	$248.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.35 / $369.07 / $880.19	Professional		$246.35	$369.07	$880.19
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $124.43 / $243.24 / $243.24	Facility	26	$124.43	$243.24	$243.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.46 / $1,686.11 / $3,109.00	Professional		$208.46	$1,686.11	$3,109.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $781.10 / $781.10	Professional		$263.20	$781.10	$781.10
United Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $328.54 / $763.53	Professional		$142.36	$328.54	$763.53