Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $34.13 / $54.45	Professional		$21.52	$34.13	$54.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $59.74 / $174.60	Professional		$28.50	$59.74	$174.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $41.79 / $75.22	Professional		$38.97	$41.79	$75.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $89.84 / $173.09	Professional		$39.50	$89.84	$173.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $153.33 / $280.16	Professional		$48.62	$153.33	$280.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $37.91 / $79.70	Professional		$20.68	$37.91	$79.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $73.56 / $120.08	Professional		$41.07	$73.56	$120.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $169.68 / $280.16	Professional		$69.12	$169.68	$280.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $62.91 / $244.59	Professional		$25.50	$62.91	$244.59
United Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $81.97 / $179.60	Professional		$44.10	$81.97	$179.60