Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.06 / $69.06 / $131.65	Facility	26	$69.06	$69.06	$131.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $273.45 / $833.25	Professional		$146.63	$273.45	$833.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.52 / $299.35 / $1,016.56	Professional		$156.52	$299.35	$1,016.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.72 / $109.52 / $168.00	Facility	26	$93.72	$109.52	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.89 / $448.14 / $509.25	Professional		$180.89	$448.14	$509.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $159.69 / $159.69 / $159.69	Facility	26	$159.69	$159.69	$159.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.12 / $310.10 / $1,016.32	Professional		$163.12	$310.10	$1,016.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $146.39 / $316.99	Professional		$55.31	$146.39	$316.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $283.33 / $393.83 / $582.55	Professional		$283.33	$393.83	$582.55
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $159.69 / $159.69	Facility	26	$100.00	$159.69	$159.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $236.83 / $775.25 / $1,016.32	Professional		$236.83	$775.25	$1,016.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $534.67 / $1,061.80 / $1,061.80	Professional		$534.67	$1,061.80	$1,061.80
United Facility/Professional Professional Modifier Low / Median / High Price $163.12 / $275.99 / $710.72	Professional		$163.12	$275.99	$710.72