Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.77 / $48.03 / $58.03	Facility	26	$41.77	$48.03	$58.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $104.81 / $511.77	Professional		$59.67	$104.81	$511.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $126.82 / $392.15	Professional		$67.62	$126.82	$392.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $47.89 / $85.70	Professional		$29.49	$47.89	$85.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.89 / $86.35 / $132.46	Facility	26	$73.89	$86.35	$132.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.15 / $246.94 / $280.61	Professional		$99.15	$246.94	$280.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $171.77 / $171.77 / $171.77	Facility	26	$171.77	$171.77	$171.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $167.98 / $542.40	Professional		$76.09	$167.98	$542.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $60.81 / $127.76	Professional		$25.84	$60.81	$127.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.56 / $196.11 / $309.00	Professional		$128.56	$196.11	$309.00
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $171.77 / $171.77	Facility	26	$100.00	$171.77	$171.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $356.40 / $542.40	Professional		$104.01	$356.40	$542.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $217.36 / $440.05 / $440.05	Professional		$217.36	$440.05	$440.05
United Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $149.51 / $312.38	Professional		$74.70	$149.51	$312.38