Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.59 / $117.95 / $117.95	Facility	26	$85.59	$117.95	$117.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $195.86 / $806.64	Professional		$113.87	$195.86	$806.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $177.07 / $648.83	Professional		$114.24	$177.07	$648.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $70.78 / $142.68	Professional		$54.34	$70.78	$142.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.68 / $173.75 / $266.54	Facility	26	$148.68	$173.75	$266.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $409.97 / $465.88	Professional		$142.36	$409.97	$465.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $251.32 / $251.32 / $251.32	Facility	26	$251.32	$251.32	$251.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.05 / $240.75 / $759.56	Professional		$129.05	$240.75	$759.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $95.42 / $194.46	Professional		$41.44	$95.42	$194.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $268.19 / $495.73	Professional		$136.94	$268.19	$495.73
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $134.88 / $251.32 / $251.32	Facility	26	$134.88	$251.32	$251.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.66 / $589.75 / $759.56	Professional		$172.66	$589.75	$759.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $318.62 / $730.50 / $730.50	Professional		$318.62	$730.50	$730.50
United Facility/Professional Professional Modifier Low / Median / High Price $128.86 / $239.44 / $516.91	Professional		$128.86	$239.44	$516.91