Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.36 / $126.36 / $175.93	Facility	26	$126.36	$126.36	$175.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.77 / $985.77 / $4,219.21	Professional		$569.77	$985.77	$4,219.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.98 / $1,031.07 / $4,117.53	Professional		$635.98	$1,031.07	$4,117.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $220.77 / $250.88 / $395.77	Facility	26	$220.77	$250.88	$395.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.46 / $2,284.23 / $2,595.73	Professional		$908.46	$2,284.23	$2,595.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $745.82 / $1,420.58 / $4,322.46	Professional		$745.82	$1,420.58	$4,322.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $400.89 / $1,163.18	Professional		$80.06	$400.89	$1,163.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,182.67 / $1,494.78 / $2,084.50	Professional		$1,182.67	$1,494.78	$2,084.50
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $376.93 / $376.93 / $376.93	Facility	26	$376.93	$376.93	$376.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $962.06 / $3,482.35 / $4,322.46	Professional		$962.06	$3,482.35	$4,322.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,656.70 / $4,070.24 / $4,070.24	Professional		$1,656.70	$4,070.24	$4,070.24
United Facility/Professional Professional Modifier Low / Median / High Price $736.20 / $1,420.58 / $3,052.28	Professional		$736.20	$1,420.58	$3,052.28