Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.13 / $21.13 / $72.42	Facility	26	$21.13	$21.13	$72.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $103.46 / $154.10	Professional		$59.75	$103.46	$154.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $136.71 / $413.95	Professional		$45.10	$136.71	$413.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.36 / $60.02 / $92.08	Facility	26	$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.21 / $227.38 / $300.70	Professional		$84.21	$227.38	$300.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $223.33 / $641.64	Professional		$50.56	$223.33	$641.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $67.79 / $144.86	Professional		$39.42	$67.79	$144.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $209.79 / $299.20	Professional		$146.88	$209.79	$299.20
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $122.36 / $122.36 / $122.36	Facility	26	$122.36	$122.36	$122.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $464.10 / $641.64	Professional		$136.16	$464.10	$641.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $394.72 / $487.09	Professional		$123.53	$394.72	$487.09
United Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $161.91 / $338.77	Professional		$57.00	$161.91	$338.77