Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.46 / $56.46 / $194.73	Facility	26	$56.46	$56.46	$194.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $96.97 / $164.38	Professional		$83.40	$96.97	$164.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $128.13 / $346.29	Professional		$86.57	$128.13	$346.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.87 / $161.11 / $247.15	Facility	26	$137.87	$161.11	$247.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $218.63 / $289.77	Professional		$96.77	$218.63	$289.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.46 / $224.49 / $584.30	Professional		$114.46	$224.49	$584.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $65.78 / $182.56	Professional		$28.12	$65.78	$182.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $204.39 / $291.50	Professional		$143.10	$204.39	$291.50
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $234.66 / $234.66 / $234.66	Facility	26	$234.66	$234.66	$234.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $466.50 / $584.30	Professional		$130.29	$466.50	$584.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $369.08 / $464.05	Professional		$137.80	$369.08	$464.05
United Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $193.13 / $349.88	Professional		$105.16	$193.13	$349.88