Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.65 / $42.65 / $59.02	Facility	26	$42.65	$42.65	$59.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $111.50 / $524.00	Professional		$60.69	$111.50	$524.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $158.58 / $544.62	Professional		$95.37	$158.58	$544.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $69.98 / $106.72	Professional		$26.23	$69.98	$106.72
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 $138.91 / $330.60 / $420.21	Professional		$138.91	$330.60	$420.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $149.66 / $681.03	Professional		$74.78	$149.66	$681.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $86.29 / $190.84	Professional		$38.69	$86.29	$190.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $242.95 / $349.76	Professional		$87.88	$242.95	$349.76
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $127.16 / $127.16 / $127.16	Facility	26	$127.16	$127.16	$127.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $489.05 / $681.03	Professional		$171.32	$489.05	$681.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $183.13 / $531.23 / $658.91	Professional		$183.13	$531.23	$658.91
United Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $141.81 / $364.35	Professional		$88.45	$141.81	$364.35