Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.77 / $20.77 / $72.42	Facility	26	$20.77	$20.77	$72.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $89.76 / $145.02	Professional		$58.31	$89.76	$145.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $118.61 / $361.61	Professional		$45.10	$118.61	$361.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $64.97 / $97.43	Professional		$21.54	$64.97	$97.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.36 / $60.02 / $92.08	Facility	26	$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $200.48 / $265.70	Professional		$80.76	$200.48	$265.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $210.97 / $554.82	Professional		$50.56	$210.97	$554.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $66.50 / $142.37	Professional		$39.42	$66.50	$142.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $185.11 / $266.31	Professional		$104.83	$185.11	$266.31
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $126.65 / $126.65 / $126.65	Facility	26	$126.65	$126.65	$126.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.47 / $438.40 / $554.82	Professional		$119.47	$438.40	$554.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $352.64 / $425.50	Professional		$85.11	$352.64	$425.50
United Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $179.32 / $339.86	Professional		$51.45	$179.32	$339.86