Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.26 / $143.19 / $143.19	Facility	26	$103.26	$143.19	$143.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.92 / $268.41 / $600.17	Professional		$192.92	$268.41	$600.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $518.02 / $1,403.04	Professional		$213.96	$518.02	$1,403.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.32 / $209.55 / $278.51	Facility	26	$179.32	$209.55	$278.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.60 / $769.81 / $874.79	Professional		$290.60	$769.81	$874.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $641.60 / $641.60 / $641.60	Facility	26	$641.60	$641.60	$641.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $832.43 / $1,987.75	Professional		$298.82	$832.43	$1,987.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $125.50 / $361.39	Professional		$53.47	$125.50	$361.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $508.78 / $732.46	Professional		$387.00	$508.78	$732.46
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $163.19 / $641.60 / $641.60	Facility	26	$163.19	$641.60	$641.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $324.22 / $1,184.75 / $1,445.91	Professional		$324.22	$1,184.75	$1,445.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.80 / $1,371.68 / $1,658.50	Professional		$1,251.80	$1,371.68	$1,658.50
United Facility/Professional Professional Modifier Low / Median / High Price $270.12 / $686.73 / $1,728.96	Professional		$270.12	$686.73	$1,728.96