Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $53.70	Professional		$20.89	$33.11	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $61.66 / $162.18	Professional		$29.51	$61.66	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $93.33	Professional		$41.69	$46.77	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $83.18 / $173.78	Professional		$37.15	$83.18	$173.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $104.71	Professional		$41.69	$64.57	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $112.20 / $281.84	Professional		$44.67	$112.20	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $123.03	Professional		$34.67	$64.57	$123.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $165.96 / $269.15	Professional		$40.74	$165.96	$269.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $245.47	Professional		$25.12	$44.67	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $57.54 / $147.91	Professional		$31.62	$57.54	$147.91