Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.54 / $66.54 / $228.01	Facility	26	$66.54	$66.54	$228.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $151.03 / $207.31	Professional		$108.35	$151.03	$207.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $199.57 / $588.83	Professional		$110.00	$199.57	$588.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.00 / $191.65 / $294.00	Facility	26	$164.00	$191.65	$294.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $331.23 / $412.23	Professional		$117.60	$331.23	$412.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.96 / $331.58 / $1,240.15	Professional		$124.96	$331.58	$1,240.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $107.91 / $247.12	Professional		$47.38	$107.91	$247.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $300.08 / $412.50	Professional		$202.50	$300.08	$412.50
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $274.01 / $274.01 / $274.01	Facility	26	$274.01	$274.01	$274.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $187.63 / $689.05 / $1,240.15	Professional		$187.63	$689.05	$1,240.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $568.16 / $712.42	Professional		$211.62	$568.16	$712.42
United Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $276.27 / $519.36	Professional		$124.00	$276.27	$519.36