Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.63 / $59.00 / $59.00	Facility	26	$42.63	$59.00	$59.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $106.57 / $192.96	Professional		$80.31	$106.57	$192.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $165.60 / $528.98	Professional		$90.38	$165.60	$528.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $71.78 / $114.17	Professional		$30.04	$71.78	$114.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.79 / $87.40 / $134.08	Facility	26	$74.79	$87.40	$134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.63 / $328.31 / $373.08	Professional		$114.63	$328.31	$373.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $127.16 / $127.16 / $127.16	Facility	26	$127.16	$127.16	$127.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $188.79 / $607.26	Professional		$98.99	$188.79	$607.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $93.48 / $190.84	Professional		$38.69	$93.48	$190.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $218.50 / $314.56	Professional		$141.57	$218.50	$314.56
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $67.45 / $127.16 / $127.16	Facility	26	$67.45	$127.16	$127.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.27 / $440.26 / $607.26	Professional		$138.27	$440.26	$607.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $246.48 / $584.98 / $584.98	Professional		$246.48	$584.98	$584.98
United Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $175.03 / $376.65	Professional		$98.10	$175.03	$376.65