Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $36.06 / $158.00	Professional		$21.26	$36.06	$158.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $16.21 / $84.61	Professional		$5.00	$16.21	$84.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $47.98 / $54.00	Professional		$34.94	$47.98	$54.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $53.62 / $98.66	Professional		$32.45	$53.62	$98.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $65.95 / $129.97	Professional		$27.29	$65.95	$129.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $58.40 / $85.00	Professional		$20.68	$58.40	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $83.31 / $103.10	Professional		$53.95	$83.31	$103.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $118.75 / $291.60	Professional		$54.04	$118.75	$291.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $194.53 / $194.53	Professional		$42.63	$194.53	$194.53
United Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $65.95 / $113.50	Professional		$27.29	$65.95	$113.50