Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.52 / $44.52 / $153.82	Facility	26	$44.52	$44.52	$153.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $115.67 / $185.49	Professional		$80.29	$115.67	$185.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $152.85 / $464.23	Professional		$72.36	$152.85	$464.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.13 / $126.36 / $193.85	Facility	26	$108.13	$126.36	$193.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $258.23 / $342.25	Professional		$102.90	$258.23	$342.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.36 / $251.58 / $706.46	Professional		$94.36	$251.58	$706.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $80.11 / $191.69	Professional		$38.36	$80.11	$191.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.94 / $246.31 / $344.78	Professional		$167.94	$246.31	$344.78
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $186.22 / $186.22 / $186.22	Facility	26	$186.22	$186.22	$186.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $522.79 / $706.46	Professional		$153.38	$522.79	$706.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $434.44 / $546.27	Professional		$162.41	$434.44	$546.27
United Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $209.72 / $392.10	Professional		$96.36	$209.72	$392.10