Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $269.15 / $269.15	Facility	26	$234.42	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $2,089.30	Professional		$794.33	$1,000.00	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,412.54 / $4,677.35	Professional		$758.58	$1,412.54	$4,677.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,380.38 / $1,698.24	Professional		$295.12	$1,380.38	$1,698.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $371.54 / $588.84	Facility	26	$316.23	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $3,019.95	Professional		$1,380.38	$2,454.71	$3,019.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,290.87	Professional		$1,513.56	$2,041.74	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $4,570.88	Professional		$933.25	$1,479.11	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $1,905.46	Professional		$32.36	$58.88	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,818.38	Professional		$1,548.82	$2,041.74	$2,818.38
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $281.84 / $1,148.15	Facility	26	$281.84	$281.84	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $4,073.80 / $5,888.44	Professional		$1,230.27	$4,073.80	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,025.60 / $6,309.57	Professional		$3,548.13	$6,025.60	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,548.82 / $3,630.78	Professional		$933.25	$1,548.82	$3,630.78