Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $143.16 / $143.16	Professional		$85.21	$143.16	$143.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $61.04 / $226.00	Professional		$23.92	$61.04	$226.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $49.21 / $49.21	Professional		$49.21	$49.21	$49.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $185.33 / $210.60	Professional		$67.23	$185.33	$210.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $73.06 / $463.00	Professional		$28.09	$73.06	$463.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $52.59 / $70.00	Professional		$19.71	$52.59	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $115.78 / $285.49	Professional		$79.95	$115.78	$285.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.25 / $463.00 / $463.00	Professional		$178.25	$463.00	$463.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $58.53 / $131.40	Professional		$25.77	$58.53	$131.40