Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $162.18	Professional		$44.67	$75.86	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $239.88	Professional		$67.61	$104.71	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $371.54	Professional		$79.43	$204.17	$371.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $223.87	Professional		$91.20	$147.91	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $588.84	Professional		$79.43	$147.91	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $281.84	Professional		$89.13	$158.49	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $371.54 / $588.84	Professional		$89.13	$371.54	$588.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $512.86	Professional		$173.78	$316.23	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $269.15	Professional		$54.95	$100.00	$269.15