Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $31.97 / $47.12	Professional		$25.19	$31.97	$47.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $100.19 / $218.55	Professional		$14.26	$100.19	$218.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.03 / $90.94 / $129.09	Facility	26	$80.03	$90.94	$129.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $45.11 / $106.53	Professional		$16.71	$45.11	$106.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	26	$118.08	$118.08	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $38.96 / $213.96	Professional		$24.60	$38.96	$213.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $58.40 / $92.02	Professional		$12.41	$58.40	$92.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $77.13 / $112.17	Professional		$60.00	$77.13	$112.17
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $50.42 / $50.42 / $118.08	Facility	26	$50.42	$50.42	$118.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $193.60 / $213.96	Professional		$17.17	$193.60	$213.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $28.13 / $171.94	Professional		$28.13	$28.13	$171.94
United Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $34.94 / $110.00	Professional		$24.60	$34.94	$110.00