Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.33 / $33.33 / $115.05	Facility	26	$33.33	$33.33	$115.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $88.61 / $144.87	Professional		$72.92	$88.61	$144.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $117.09 / $345.81	Professional		$69.93	$117.09	$345.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.00 / $95.83 / $147.00	Facility	26	$82.00	$95.83	$147.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $209.28 / $294.49	Professional		$99.12	$209.28	$294.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $192.44 / $655.00	Professional		$83.96	$192.44	$655.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $65.00 / $190.84	Professional		$25.36	$65.00	$190.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.60 / $190.41 / $264.00	Professional		$129.60	$190.41	$264.00
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $139.28 / $139.28 / $139.28	Facility	26	$139.28	$139.28	$139.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $399.90 / $655.00	Professional		$120.60	$399.90	$655.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $332.92 / $422.66	Professional		$105.24	$332.92	$422.66
United Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $165.56 / $308.79	Professional		$84.09	$165.56	$308.79