Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.57 / $70.22 / $70.22	Facility	26	$50.57	$70.22	$70.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $135.87 / $554.00	Professional		$84.13	$135.87	$554.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $146.97 / $487.42	Professional		$86.17	$146.97	$487.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $63.40 / $108.54	Professional		$35.65	$63.40	$108.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.21 / $104.25 / $159.91	Facility	26	$89.21	$104.25	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $314.39 / $357.26	Professional		$115.35	$314.39	$357.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $149.85 / $149.85 / $149.85	Facility	26	$149.85	$149.85	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $187.15 / $579.01	Professional		$99.25	$187.15	$579.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $94.25 / $190.84	Professional		$41.36	$94.25	$190.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $207.45 / $380.16	Professional		$135.78	$207.45	$380.16
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $80.30 / $149.85 / $149.85	Facility	26	$80.30	$149.85	$149.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $439.70 / $579.01	Professional		$132.41	$439.70	$579.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $248.83 / $560.24 / $560.24	Professional		$248.83	$560.24	$560.24
United Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $171.48 / $385.40	Professional		$96.42	$171.48	$385.40