Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $37.97 / $132.75	Professional		$26.90	$37.97	$132.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.45 / $18.98 / $64.23	Professional	52	$13.45	$18.98	$64.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $67.81 / $135.63	Professional		$30.17	$67.81	$135.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $35.65 / $35.65	Professional		$35.65	$35.65	$35.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $83.47 / $109.11	Professional		$41.64	$83.47	$109.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $45.09 / $158.38	Professional		$25.67	$45.09	$158.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $52.59 / $71.19	Professional		$21.28	$52.59	$71.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $91.60 / $130.87	Professional		$49.78	$91.60	$130.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $162.50 / $214.27	Professional		$47.30	$162.50	$214.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $119.32 / $119.32	Professional		$31.10	$119.32	$119.32
United Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $45.54 / $99.46	Professional		$27.30	$45.54	$99.46