Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.35 / $13.35 / $45.75	Facility	26	$13.35	$13.35	$45.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $56.14 / $90.46	Professional		$48.17	$56.14	$90.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $74.18 / $175.73	Professional		$52.82	$74.18	$175.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.44 / $37.90 / $58.15	Facility	26	$32.44	$37.90	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $128.08 / $154.56	Professional		$64.94	$128.08	$154.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.91 / $169.20 / $169.20	Facility	26	$28.91	$169.20	$169.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $106.27 / $452.94	Professional		$54.50	$106.27	$452.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $46.76 / $73.66	Professional		$19.71	$46.76	$73.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $133.37 / $274.95	Professional		$86.90	$133.37	$274.95
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $16.32 / $169.20 / $169.20	Facility	26	$16.32	$169.20	$169.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $452.94 / $503.38	Professional		$81.76	$452.94	$503.38
Security Health Facility/Professional Facility Modifier 26 Low / Median / High Price $271.43 / $271.43 / $271.43	Facility	26	$271.43	$271.43	$271.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $182.60 / $188.36	Professional		$75.59	$182.60	$188.36
United Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $89.05 / $194.03	Professional		$54.50	$89.05	$194.03