Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.54 / $34.54 / $47.99	Facility	26	$34.54	$34.54	$47.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $274.72 / $1,156.81	Professional		$158.81	$274.72	$1,156.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $274.72 / $993.94	Professional		$177.24	$274.72	$993.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.47 / $67.58 / $106.61	Facility	26	$59.47	$67.58	$106.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.79 / $638.10 / $725.11	Professional		$257.79	$638.10	$725.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.74 / $382.03 / $1,203.75	Professional		$201.74	$382.03	$1,203.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.08 / $152.83 / $347.44	Professional		$92.08	$152.83	$347.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $350.35 / $524.88 / $771.59	Professional		$350.35	$524.88	$771.59
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $122.00 / $122.00 / $122.00	Facility	26	$122.00	$122.00	$122.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $268.75 / $953.85 / $1,203.75	Professional		$268.75	$953.85	$1,203.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $463.28 / $1,137.02 / $1,137.02	Professional		$463.28	$1,137.02	$1,137.02
United Facility/Professional Professional Modifier Low / Median / High Price $201.74 / $381.54 / $911.87	Professional		$201.74	$381.54	$911.87