Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.60 / $42.60 / $171.31	Facility	26	$42.60	$42.60	$171.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $213.24 / $621.54	Professional		$167.09	$213.24	$621.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.59 / $322.47 / $612.70	Professional		$182.59	$322.47	$612.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.75 / $141.11 / $187.54	Facility	26	$120.75	$141.11	$187.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.69 / $404.84 / $591.53	Professional		$250.69	$404.84	$591.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $233.70 / $233.70 / $233.70	Facility	26	$233.70	$233.70	$233.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.47 / $398.79 / $1,494.48	Professional		$225.47	$398.79	$1,494.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $168.76 / $435.76	Professional		$55.81	$168.76	$435.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $300.95 / $546.08 / $778.80	Professional		$300.95	$546.08	$778.80
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $109.13 / $233.70 / $233.70	Facility	26	$109.13	$233.70	$233.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $974.95 / $1,494.48	Professional		$358.29	$974.95	$1,494.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $231.98 / $659.77 / $659.77	Professional		$231.98	$659.77	$659.77
United Facility/Professional Professional Modifier Low / Median / High Price $225.47 / $389.71 / $682.47	Professional		$225.47	$389.71	$682.47