Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $37.24 / $161.00	Professional		$19.26	$37.24	$161.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $18.34 / $95.73	Professional		$5.00	$18.34	$95.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $51.44 / $57.90	Professional		$37.46	$51.44	$57.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $60.26 / $107.05	Professional		$34.76	$60.26	$107.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $81.29 / $145.38	Professional		$30.82	$81.29	$145.38
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 $57.85 / $89.33 / $115.31	Professional		$57.85	$89.33	$115.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $134.15 / $219.84	Professional		$58.63	$134.15	$219.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $211.12 / $211.12	Professional		$56.84	$211.12	$211.12
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $81.29 / $126.94	Professional		$30.82	$81.29	$126.94