Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $138.04 / $165.96	Facility	26	$120.23	$138.04	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $1,071.52	Professional		$213.80	$389.05	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $1,230.27	Professional		$257.04	$398.11	$1,230.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $213.80 / $537.03	Professional		$91.20	$213.80	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.93 / $245.47 / $389.05	Facility	26	$208.93	$245.47	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $602.56 / $1,071.52	Professional		$229.09	$602.56	$1,071.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $724.44	Professional		$467.74	$537.03	$724.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $1,698.24	Professional		$229.09	$478.63	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $912.01	Professional		$257.04	$616.60	$912.01
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $501.19 / $501.19	Facility	26	$186.21	$501.19	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,318.26 / $1,698.24	Professional		$229.09	$1,318.26	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,000.00 / $1,659.59	Professional		$302.00	$1,000.00	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $851.14	Professional		$229.09	$331.13	$851.14