Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $58.88	Facility	26	$41.69	$41.69	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $177.83	Professional		$72.44	$89.13	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $426.58	Professional		$91.20	$141.25	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $77.62 / $190.55	Professional		$32.36	$77.62	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $87.10 / $138.04	Facility	26	$74.13	$87.10	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $218.78 / $380.19	Professional		$100.00	$218.78	$380.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $257.04	Professional		$169.82	$190.55	$257.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $602.56	Professional		$97.72	$165.96	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $309.03	Professional		$120.23	$218.78	$309.03
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $181.97 / $181.97	Facility	26	$66.07	$181.97	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $467.74 / $602.56	Professional		$83.18	$467.74	$602.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $602.56	Professional		$234.42	$323.59	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $323.59	Professional		$95.50	$131.83	$323.59