Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.12 / $72.38 / $72.38	Facility	26	$52.12	$72.38	$72.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $175.53 / $694.00	Professional		$110.57	$175.53	$694.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $175.53 / $659.81	Professional		$113.25	$175.53	$659.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $89.11 / $140.90	Professional		$36.74	$89.11	$140.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.91 / $107.41 / $164.77	Facility	26	$91.91	$107.41	$164.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $410.63 / $466.63	Professional		$130.15	$410.63	$466.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $154.38 / $154.38 / $154.38	Facility	26	$154.38	$154.38	$154.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $242.29 / $756.60	Professional		$125.48	$242.29	$756.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $110.51 / $253.98	Professional		$41.36	$110.51	$253.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $269.77 / $496.53	Professional		$171.00	$269.77	$496.53
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $154.38 / $154.38	Facility	26	$100.00	$154.38	$154.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.95 / $577.50 / $756.60	Professional		$172.95	$577.50	$756.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $310.23 / $731.70 / $731.70	Professional		$310.23	$731.70	$731.70
United Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $215.97 / $506.18	Professional		$121.28	$215.97	$506.18