Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.09 / $16.79 / $16.79	Facility	26	$12.09	$16.79	$16.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $34.61 / $65.06	Professional		$28.34	$34.61	$65.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $72.23 / $199.18	Professional		$31.73	$72.23	$199.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.73 / $24.22 / $32.19	Facility	26	$20.73	$24.22	$32.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $117.77 / $133.83	Professional		$40.29	$117.77	$133.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $70.00 / $70.00 / $70.00	Facility	26	$70.00	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $87.38 / $208.83	Professional		$35.17	$87.38	$208.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $35.25 / $77.04	Professional		$19.34	$35.25	$77.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $81.25 / $142.40	Professional		$66.95	$81.25	$142.40
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $19.20 / $70.00 / $70.00	Facility	26	$19.20	$70.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $165.40 / $208.83	Professional		$51.00	$165.40	$208.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.49 / $209.86 / $260.61	Professional		$208.49	$209.86	$260.61
United Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $78.77 / $144.97	Professional		$35.01	$78.77	$144.97