Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.00 / $52.00 / $72.23	Facility	26	$52.00	$52.00	$72.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $248.46 / $443.75	Professional		$192.63	$248.46	$443.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.65 / $331.17 / $1,196.28	Professional		$212.65	$331.17	$1,196.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.11 / $102.40 / $161.54	Facility	26	$90.11	$102.40	$161.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.68 / $759.80 / $863.41	Professional		$305.68	$759.80	$863.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.68 / $457.27 / $1,447.02	Professional		$239.68	$457.27	$1,447.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $180.41 / $436.16	Professional		$65.00	$180.41	$436.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $415.35 / $595.26 / $918.75	Professional		$415.35	$595.26	$918.75
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $155.94 / $155.94 / $155.94	Facility	26	$155.94	$155.94	$155.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $320.01 / $1,159.34 / $1,447.02	Professional		$320.01	$1,159.34	$1,447.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $570.80 / $1,353.88 / $1,353.88	Professional		$570.80	$1,353.88	$1,353.88
United Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $431.53 / $1,016.17	Professional		$223.04	$431.53	$1,016.17