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 $67.61 / $107.15 / $213.80	Professional		$67.61	$107.15	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $478.63	Professional		$97.72	$154.88	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $89.13 / $125.89	Professional		$37.15	$89.13	$125.89
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 $112.20 / $338.84 / $426.58	Professional		$112.20	$338.84	$426.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $275.42	Professional		$186.21	$213.80	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $676.08	Professional		$66.07	$123.03	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $245.47 / $363.08	Professional		$87.10	$245.47	$363.08
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $181.97	Facility	26	$66.07	$66.07	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $489.78 / $676.08	Professional		$154.88	$489.78	$676.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $549.54 / $660.69	Professional		$181.97	$549.54	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $309.03	Professional		$67.61	$120.23	$309.03