Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.81 / $137.78 / $165.69	Facility	26	$119.81	$137.78	$165.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.75 / $408.83 / $1,332.00	Professional		$216.75	$408.83	$1,332.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.46 / $397.55 / $1,460.89	Professional		$254.46	$397.55	$1,460.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.11 / $198.54 / $316.27	Professional		$84.11	$198.54	$316.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $209.96 / $245.36 / $376.38	Facility	26	$209.96	$245.36	$376.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $923.73 / $1,049.69	Professional		$263.39	$923.73	$1,049.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $352.73 / $352.73 / $352.73	Facility	26	$352.73	$352.73	$352.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $272.56 / $544.38 / $1,708.42	Professional		$272.56	$544.38	$1,708.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $203.71 / $496.19	Professional		$84.18	$203.71	$496.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $233.14 / $605.01 / $1,116.95	Professional		$233.14	$605.01	$1,116.95
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $190.25 / $352.73 / $352.73	Facility	26	$190.25	$352.73	$352.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,327.75 / $1,708.42	Professional		$389.05	$1,327.75	$1,708.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $321.30 / $1,646.00 / $1,646.00	Professional		$321.30	$1,646.00	$1,646.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.86 / $517.82 / $1,163.77	Professional		$232.86	$517.82	$1,163.77