Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.22 / $54.22 / $187.07	Facility	26	$54.22	$54.22	$187.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $121.40 / $379.76	Professional		$90.20	$121.40	$379.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $160.41 / $489.69	Professional		$83.28	$160.41	$489.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.46 / $154.80 / $237.46	Facility	26	$132.46	$154.80	$237.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $286.36 / $367.89	Professional		$110.34	$286.36	$367.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.64 / $281.18 / $803.29	Professional		$118.64	$281.18	$803.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $80.11 / $191.69	Professional		$38.69	$80.11	$191.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.74 / $262.14 / $364.10	Professional		$178.74	$262.14	$364.10
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $225.58 / $225.58 / $225.58	Facility	26	$225.58	$225.58	$225.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $584.29 / $803.29	Professional		$162.38	$584.29	$803.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $260.06 / $462.12 / $578.38	Professional		$260.06	$462.12	$578.38
United Facility/Professional Professional Modifier Low / Median / High Price $122.52 / $239.00 / $451.18	Professional		$122.52	$239.00	$451.18