Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $78.31 / $78.31	Facility	26	$56.23	$78.31	$78.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $103.79 / $148.69	Professional		$83.72	$103.79	$148.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $147.54 / $603.00	Professional		$93.04	$147.54	$603.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.22 / $114.78 / $176.08	Facility	26	$98.22	$114.78	$176.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $227.66 / $379.89	Professional		$116.23	$227.66	$379.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $169.56 / $169.56 / $169.56	Facility	26	$169.56	$169.56	$169.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $199.82 / $767.00	Professional		$100.42	$199.82	$767.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $105.19 / $200.74	Professional		$45.28	$105.19	$200.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.80 / $254.47 / $444.31	Professional		$169.80	$254.47	$444.31
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $169.56 / $169.56	Facility	26	$43.40	$169.56	$169.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $477.60 / $767.00	Professional		$140.80	$477.60	$767.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $231.36 / $421.92 / $478.80	Professional		$231.36	$421.92	$478.80
United Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $155.08 / $357.47	Professional		$100.69	$155.08	$357.47