Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.18 / $114.75 / $122.10	Facility	26	$106.18	$114.75	$122.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $140.05 / $217.78	Professional		$106.18	$140.05	$217.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $259.24 / $715.32	Professional		$108.89	$259.24	$715.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.38 / $166.38 / $268.36	Facility	26	$142.38	$166.38	$268.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.98 / $390.94 / $444.25	Professional		$167.98	$390.94	$444.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.57 / $276.23 / $660.27	Professional		$128.57	$276.23	$660.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $100.37 / $197.94	Professional		$42.37	$100.37	$197.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $215.80 / $316.06 / $523.00	Professional		$215.80	$316.06	$523.00
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $296.93 / $296.93 / $296.93	Facility	26	$296.93	$296.93	$296.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $588.15 / $1,548.00	Professional		$164.65	$588.15	$1,548.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $493.36 / $674.73	Professional		$294.45	$493.36	$674.73
United Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $269.37 / $515.51	Professional		$123.79	$269.37	$515.51