Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.95 / $110.95 / $156.74	Facility	26	$110.95	$110.95	$156.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.29 / $364.60 / $1,001.00	Professional		$256.29	$364.60	$1,001.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.54 / $451.79 / $1,341.49	Professional		$199.54	$451.79	$1,341.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $195.54 / $228.51 / $350.54	Facility	26	$195.54	$228.51	$350.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.82 / $1,100.10 / $1,250.13	Professional		$250.82	$1,100.10	$1,250.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.43 / $499.69 / $1,533.47	Professional		$230.43	$499.69	$1,533.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $147.47 / $421.94	Professional		$55.81	$147.47	$421.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $357.31 / $586.87 / $894.40	Professional		$357.31	$586.87	$894.40
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $336.07 / $336.07 / $336.07	Facility	26	$336.07	$336.07	$336.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $364.45 / $1,058.15 / $1,533.47	Professional		$364.45	$1,058.15	$1,533.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.66 / $1,510.60 / $1,510.60	Professional		$630.66	$1,510.60	$1,510.60
United Facility/Professional Professional Modifier Low / Median / High Price $231.32 / $455.67 / $928.45	Professional		$231.32	$455.67	$928.45