Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.48 / $83.48 / $115.70	Facility	26	$83.48	$83.48	$115.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.47 / $391.24 / $1,864.00	Professional		$286.47	$391.24	$1,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.62 / $523.40 / $1,792.50	Professional		$317.62	$523.40	$1,792.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.08 / $164.86 / $260.08	Facility	26	$145.08	$164.86	$260.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.75 / $1,135.48 / $1,290.31	Professional		$455.75	$1,135.48	$1,290.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $366.31 / $676.76 / $2,164.91	Professional		$366.31	$676.76	$2,164.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $244.53 / $564.07	Professional		$65.14	$244.53	$564.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.48 / $750.15 / $1,079.96	Professional		$549.48	$750.15	$1,079.96
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $252.03 / $252.03 / $252.03	Facility	26	$252.03	$252.03	$252.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.24 / $1,737.85 / $2,164.91	Professional		$478.24	$1,737.85	$2,164.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $851.03 / $2,023.25 / $2,023.25	Professional		$851.03	$2,023.25	$2,023.25
United Facility/Professional Professional Modifier Low / Median / High Price $366.31 / $661.25 / $1,523.23	Professional		$366.31	$661.25	$1,523.23