Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.27 / $87.71 / $105.46	Facility	26	$76.27	$87.71	$105.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $175.40 / $681.72	Professional		$110.20	$175.40	$681.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $177.65 / $649.66	Professional		$113.16	$177.65	$649.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $80.09 / $148.37	Professional		$53.49	$80.09	$148.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.37 / $155.85 / $239.08	Facility	26	$133.37	$155.85	$239.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.04 / $419.06 / $476.20	Professional		$135.04	$419.06	$476.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $224.03 / $224.03 / $224.03	Facility	26	$224.03	$224.03	$224.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $253.33 / $735.51	Professional		$126.35	$253.33	$735.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $97.50 / $191.96	Professional		$41.44	$97.50	$191.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.18 / $281.95 / $527.66	Professional		$222.18	$281.95	$527.66
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $120.58 / $224.03 / $224.03	Facility	26	$120.58	$224.03	$224.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $176.50 / $574.25 / $735.51	Professional		$176.50	$574.25	$735.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.02 / $746.70 / $746.70	Professional		$302.02	$746.70	$746.70
United Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $226.84 / $465.14	Professional		$122.82	$226.84	$465.14