Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $235.14 / $235.14 / $453.49	Facility	26	$235.14	$235.14	$453.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.34 / $979.75 / $1,662.14	Professional		$757.34	$979.75	$1,662.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.65 / $1,671.69 / $5,593.99	Professional		$756.65	$1,671.69	$5,593.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.78 / $1,052.19 / $1,626.37	Professional		$186.78	$1,052.19	$1,626.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $318.10 / $371.72 / $599.57	Facility	26	$318.10	$371.72	$599.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.77 / $2,433.50 / $3,536.23	Professional		$1,356.77	$2,433.50	$3,536.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $940.48 / $1,692.77 / $4,556.31	Professional		$940.48	$1,692.77	$4,556.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $644.74 / $1,752.43	Professional		$85.00	$644.74	$1,752.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,538.07 / $2,099.55 / $2,782.22	Professional		$1,538.07	$2,099.55	$2,782.22
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $1,180.80 / $1,180.80 / $1,180.80	Facility	26	$1,180.80	$1,180.80	$1,180.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,306.18 / $3,628.26 / $5,824.33	Professional		$1,306.18	$3,628.26	$5,824.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,215.85 / $5,980.12 / $5,980.12	Professional		$3,215.85	$5,980.12	$5,980.12
United Facility/Professional Professional Modifier Low / Median / High Price $940.48 / $2,077.55 / $3,946.42	Professional		$940.48	$2,077.55	$3,946.42