Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.14 / $13.14 / $18.25	Facility	26	$13.14	$13.14	$18.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $90.67 / $148.68	Professional		$75.90	$90.67	$148.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $119.58 / $438.45	Professional		$77.15	$119.58	$438.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.53 / $25.60 / $40.38	Facility	26	$22.53	$25.60	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $282.82 / $321.39	Professional		$115.75	$282.82	$321.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.61 / $170.18 / $515.17	Professional		$86.61	$170.18	$515.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.48 / $63.07 / $138.97	Professional		$37.48	$63.07	$138.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $148.54 / $191.68 / $275.95	Professional		$148.54	$191.68	$275.95
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $70.00 / $70.00 / $70.00	Facility	26	$70.00	$70.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.12 / $396.20 / $515.17	Professional		$119.12	$396.20	$515.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $197.60 / $503.91 / $503.91	Professional		$197.60	$503.91	$503.91
United Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $164.04 / $347.27	Professional		$84.09	$164.04	$347.27