Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.65 / $55.65 / $77.29	Facility	26	$55.65	$55.65	$77.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.87 / $312.99 / $706.13	Professional		$296.87	$312.99	$706.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.77 / $473.57 / $1,570.62	Professional		$277.77	$473.57	$1,570.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.42 / $109.57 / $172.85	Facility	26	$96.42	$109.57	$172.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.06 / $987.54 / $1,122.20	Professional		$395.06	$987.54	$1,122.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $649.67 / $1,900.36	Professional		$322.95	$649.67	$1,900.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $216.68 / $501.10	Professional		$65.00	$216.68	$501.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $536.25 / $803.39 / $1,194.10	Professional		$536.25	$803.39	$1,194.10
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $180.12 / $180.12 / $180.12	Facility	26	$180.12	$180.12	$180.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $415.93 / $1,527.55 / $1,900.36	Professional		$415.93	$1,527.55	$1,900.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $773.42 / $1,759.66 / $1,759.66	Professional		$773.42	$1,759.66	$1,759.66
United Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $604.74 / $1,338.90	Professional		$322.95	$604.74	$1,338.90