Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $42.13 / $168.00	Professional		$22.67	$42.13	$168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $75.45 / $198.73	Professional		$30.26	$75.45	$198.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $60.36 / $67.94	Professional		$43.95	$60.36	$67.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $108.26 / $152.51	Professional		$65.48	$108.26	$152.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $96.07 / $171.19	Professional		$36.04	$96.07	$171.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $58.40 / $87.12	Professional		$20.68	$58.40	$87.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $104.38 / $135.78	Professional		$67.59	$104.38	$135.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $150.15 / $995.38	Professional		$67.39	$150.15	$995.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $242.64 / $242.64	Professional		$85.27	$242.64	$242.64
United Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $98.44 / $149.49	Professional		$36.04	$98.44	$149.49