Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.17 / $93.17 / $317.19	Facility	26	$93.17	$93.17	$317.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $163.72 / $641.25	Professional		$136.40	$163.72	$641.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $181.46 / $473.06	Professional		$136.66	$181.46	$473.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.18 / $264.31 / $405.46	Facility	26	$226.18	$264.31	$405.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.62 / $384.22 / $486.10	Professional		$182.62	$384.22	$486.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $352.73 / $956.27	Professional		$179.32	$352.73	$956.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $123.82 / $311.82	Professional		$55.72	$123.82	$311.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $238.14 / $339.57 / $485.10	Professional		$238.14	$339.57	$485.10
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $383.01 / $383.01 / $383.01	Facility	26	$383.01	$383.01	$383.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $217.89 / $733.00 / $956.27	Professional		$217.89	$733.00	$956.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $320.05 / $585.20 / $776.03	Professional		$320.05	$585.20	$776.03
United Facility/Professional Professional Modifier Low / Median / High Price $175.31 / $312.14 / $549.75	Professional		$175.31	$312.14	$549.75