Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $117.49 / $144.54	Facility	26	$85.11	$117.49	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $724.44	Professional		$102.33	$213.80	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $562.34	Professional		$114.82	$177.83	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $186.21	Professional		$56.23	$85.11	$186.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $173.78 / $275.42	Facility	26	$147.91	$173.78	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $478.63	Professional		$125.89	$269.15	$478.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $316.23	Professional		$208.93	$234.42	$316.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	26	$251.19	$251.19	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $758.58	Professional		$123.03	$213.80	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $407.38	Professional		$138.04	$269.15	$407.38
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $354.81 / $354.81	Facility	26	$131.83	$354.81	$354.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $588.84 / $758.58	Professional		$112.20	$588.84	$758.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $741.31	Professional		$316.23	$446.68	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $407.38	Professional		$123.03	$165.96	$407.38