Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.37 / $176.37 / $339.17	Facility	26	$176.37	$176.37	$339.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $207.66 / $394.67	Professional		$156.44	$207.66	$394.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $274.68 / $939.42	Professional		$156.50	$274.68	$939.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $157.88 / $340.46	Professional		$73.02	$157.88	$340.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.80 / $279.05 / $428.07	Facility	26	$238.80	$279.05	$428.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.15 / $469.78 / $572.50	Professional		$252.15	$469.78	$572.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $212.19 / $420.63 / $420.63	Facility	26	$212.19	$420.63	$420.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $303.18 / $1,321.58	Professional		$162.40	$303.18	$1,321.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $123.76 / $298.04	Professional		$56.25	$123.76	$298.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.20 / $465.33 / $807.56	Professional		$295.20	$465.33	$807.56
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $120.95 / $212.19 / $420.63	Facility	26	$120.95	$212.19	$420.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $277.37 / $777.80 / $1,321.58	Professional		$277.37	$777.80	$1,321.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $639.79 / $821.69 / $1,113.05	Professional		$639.79	$821.69	$1,113.05
United Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $276.89 / $633.91	Professional		$162.40	$276.89	$633.91