Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.04 / $208.67 / $208.67	Facility	26	$150.04	$208.67	$208.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $494.18 / $1,127.16	Professional		$310.89	$494.18	$1,127.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.64 / $824.39 / $2,223.59	Professional		$339.64	$824.39	$2,223.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $260.42 / $304.33 / $404.47	Facility	26	$260.42	$304.33	$404.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.60 / $1,214.90 / $1,380.56	Professional		$461.60	$1,214.90	$1,380.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $931.68 / $931.68 / $931.68	Facility	26	$931.68	$931.68	$931.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.41 / $1,089.58 / $2,291.23	Professional		$473.41	$1,089.58	$2,291.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $206.16 / $601.90	Professional		$80.06	$206.16	$601.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $613.20 / $806.15 / $1,160.58	Professional		$613.20	$806.15	$1,160.58
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $236.73 / $931.68 / $931.68	Facility	26	$236.73	$931.68	$931.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $511.68 / $1,878.60 / $2,291.23	Professional		$511.68	$1,878.60	$2,291.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,986.98 / $2,164.78 / $2,632.53	Professional		$1,986.98	$2,164.78	$2,632.53
United Facility/Professional Professional Modifier Low / Median / High Price $450.86 / $1,014.44 / $2,108.94	Professional		$450.86	$1,014.44	$2,108.94