Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $87.10 / $104.71	Facility	26	$75.86	$87.10	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $467.74	Professional		$97.72	$186.21	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $562.34	Professional		$112.20	$173.78	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $223.87	Professional		$57.54	$97.72	$223.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $154.88 / $251.19	Facility	26	$134.90	$154.88	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $281.84 / $489.78	Professional		$125.89	$281.84	$489.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $331.13	Professional		$218.78	$245.47	$331.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	26	$223.87	$223.87	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $741.31	Professional		$120.23	$218.78	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $524.81	Professional		$158.49	$288.40	$524.81
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $316.23 / $316.23	Facility	26	$117.49	$316.23	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $575.44 / $741.31	Professional		$120.23	$575.44	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $741.31	Professional		$288.40	$446.68	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $398.11	Professional		$120.23	$165.96	$398.11