Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.55 / $66.55 / $92.43	Facility	26	$66.55	$66.55	$92.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.12 / $246.29 / $1,373.38	Professional		$215.12	$246.29	$1,373.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $326.19 / $1,177.24	Professional		$210.44	$326.19	$1,177.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.34 / $131.07 / $206.77	Facility	26	$115.34	$131.07	$206.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.20 / $755.10 / $858.06	Professional		$305.20	$755.10	$858.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $472.90 / $1,573.00	Professional		$248.77	$472.90	$1,573.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $157.68 / $377.33	Professional		$65.00	$157.68	$377.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $414.05 / $620.30 / $913.05	Professional		$414.05	$620.30	$913.05
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $201.06 / $201.06 / $201.06	Facility	26	$201.06	$201.06	$201.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $318.02 / $1,138.00 / $1,573.00	Professional		$318.02	$1,138.00	$1,573.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $594.41 / $1,345.48 / $1,345.48	Professional		$594.41	$1,345.48	$1,345.48
United Facility/Professional Professional Modifier Low / Median / High Price $241.43 / $455.20 / $997.46	Professional		$241.43	$455.20	$997.46