Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.78 / $58.78 / $80.69	Facility	26	$58.78	$58.78	$80.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $420.71 / $1,802.44	Professional		$243.28	$420.71	$1,802.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $424.29 / $1,558.30	Professional		$271.42	$424.29	$1,558.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.83 / $115.71 / $182.54	Facility	26	$101.83	$115.71	$182.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.36 / $966.70 / $1,098.53	Professional		$386.36	$966.70	$1,098.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $325.41 / $620.26 / $1,858.99	Professional		$325.41	$620.26	$1,858.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $215.14 / $501.10	Professional		$65.00	$215.14	$501.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $523.90 / $635.77 / $1,074.77	Professional		$523.90	$635.77	$1,074.77
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $172.60 / $172.60 / $172.60	Facility	26	$172.60	$172.60	$172.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.16 / $1,488.60 / $1,858.99	Professional		$407.16	$1,488.60	$1,858.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $730.91 / $1,722.53 / $1,722.53	Professional		$730.91	$1,722.53	$1,722.53
United Facility/Professional Professional Modifier Low / Median / High Price $313.98 / $595.44 / $1,304.76	Professional		$313.98	$595.44	$1,304.76