Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.75 / $85.75 / $119.88	Facility	26	$85.75	$85.75	$119.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.74 / $493.57 / $822.90	Professional		$300.74	$493.57	$822.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.75 / $864.27 / $2,716.14	Professional		$425.75	$864.27	$2,716.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.38 / $176.91 / $271.38	Facility	26	$151.38	$176.91	$271.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.33 / $1,973.07 / $2,242.13	Professional		$547.33	$1,973.07	$2,242.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.16 / $1,029.17 / $3,514.00	Professional		$461.16	$1,029.17	$3,514.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $328.39 / $812.14	Professional		$55.81	$328.39	$812.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $679.02 / $1,052.26 / $1,876.61	Professional		$679.02	$1,052.26	$1,876.61
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $460.70 / $460.70 / $460.70	Facility	26	$460.70	$460.70	$460.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $653.65 / $2,253.60 / $3,514.00	Professional		$653.65	$2,253.60	$3,514.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.22 / $2,709.34 / $2,709.34	Professional		$1,457.22	$2,709.34	$2,709.34
United Facility/Professional Professional Modifier Low / Median / High Price $474.58 / $814.06 / $1,975.28	Professional		$474.58	$814.06	$1,975.28