Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.82 / $102.82 / $143.71	Facility	26	$102.82	$102.82	$143.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $404.37 / $1,703.20	Professional		$234.71	$404.37	$1,703.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.88 / $425.13 / $1,473.08	Professional		$260.88	$425.13	$1,473.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.32 / $203.78 / $321.45	Facility	26	$179.32	$203.78	$321.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.44 / $942.63 / $1,071.18	Professional		$391.44	$942.63	$1,071.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $314.61 / $698.78 / $2,216.00	Professional		$314.61	$698.78	$2,216.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $160.84 / $426.83	Professional		$53.80	$160.84	$426.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $511.55 / $766.38 / $1,305.70	Professional		$511.55	$766.38	$1,305.70
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $319.44 / $319.44 / $319.44	Facility	26	$319.44	$319.44	$319.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $397.02 / $1,416.70 / $2,216.00	Professional		$397.02	$1,416.70	$2,216.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $689.09 / $1,679.67 / $1,679.67	Professional		$689.09	$1,679.67	$1,679.67
United Facility/Professional Professional Modifier Low / Median / High Price $300.93 / $676.58 / $1,516.25	Professional		$300.93	$676.58	$1,516.25