Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.39 / $29.39 / $98.20	Facility	26	$29.39	$29.39	$98.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $166.88 / $238.69	Professional		$127.69	$166.88	$238.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.24 / $220.51 / $647.64	Professional		$124.24	$220.51	$647.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.09 / $84.24 / $129.22	Facility	26	$72.09	$84.24	$129.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $373.04 / $471.74	Professional		$123.05	$373.04	$471.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.52 / $310.07 / $1,025.66	Professional		$113.52	$310.07	$1,025.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $130.06 / $316.99	Professional		$50.00	$130.06	$316.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $227.34 / $324.72 / $463.10	Professional		$227.34	$324.72	$463.10
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	26	$118.08	$118.08	$118.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.65 / $676.85 / $1,025.66	Professional		$200.65	$676.85	$1,025.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $567.91 / $807.86	Professional		$329.05	$567.91	$807.86
United Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $266.76 / $497.55	Professional		$120.07	$266.76	$497.55