Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.10 / $54.10 / $75.59	Facility	26	$54.10	$54.10	$75.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $261.83 / $1,094.67	Professional		$151.88	$261.83	$1,094.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.93 / $269.86 / $955.35	Professional		$168.93	$269.86	$955.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.62 / $107.52 / $169.61	Facility	26	$94.62	$107.52	$169.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.15 / $609.54 / $692.66	Professional		$245.15	$609.54	$692.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $364.34 / $1,153.97	Professional		$194.32	$364.34	$1,153.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $132.36 / $312.33	Professional		$65.00	$132.36	$312.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $259.89 / $403.87 / $581.42	Professional		$259.89	$403.87	$581.42
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $168.78 / $168.78 / $168.78	Facility	26	$168.78	$168.78	$168.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.72 / $908.00 / $1,153.97	Professional		$256.72	$908.00	$1,153.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $432.51 / $1,086.08 / $1,086.08	Professional		$432.51	$1,086.08	$1,086.08
United Facility/Professional Professional Modifier Low / Median / High Price $192.57 / $330.33 / $795.86	Professional		$192.57	$330.33	$795.86