Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $35.04	Facility	26	$10.23	$10.23	$35.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $52.26 / $86.55	Professional		$43.64	$52.26	$86.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $75.98 / $163.47	Professional		$48.92	$75.98	$163.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.33 / $28.43 / $43.62	Facility	26	$24.33	$28.43	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $121.07 / $137.58	Professional		$63.46	$121.07	$137.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $24.96 / $169.20 / $169.20	Facility	26	$24.96	$169.20	$169.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $106.86 / $619.00	Professional		$53.77	$106.86	$619.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $46.43 / $71.90	Professional		$19.71	$46.43	$71.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $124.37 / $274.95	Professional		$79.20	$124.37	$274.95
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $12.50 / $169.20 / $169.20	Facility	26	$12.50	$169.20	$169.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $503.38 / $619.00	Professional		$79.68	$503.38	$619.00
Security Health Facility/Professional Facility Modifier 26 Low / Median / High Price $15.74 / $15.74 / $15.74	Facility	26	$15.74	$15.74	$15.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $164.11 / $167.69	Professional		$69.56	$164.11	$167.69
United Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $87.69 / $180.96	Professional		$53.68	$87.69	$180.96