Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $48.23 / $150.00	Professional		$34.11	$48.23	$150.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.05 / $23.32 / $63.75	Professional	52	$17.05	$23.32	$63.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $83.27 / $166.54	Professional		$36.65	$83.27	$166.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $43.10 / $43.10	Professional		$43.10	$43.10	$43.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $102.51 / $132.19	Professional		$50.51	$102.51	$132.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $52.77 / $173.79	Professional		$32.53	$52.77	$173.79
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $78.87 / $78.87 / $78.87	Professional	52	$78.87	$78.87	$78.87
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 $60.15 / $110.68 / $156.86	Professional		$60.15	$110.68	$156.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $196.88 / $259.85	Professional		$57.32	$196.88	$259.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $144.58 / $144.58	Professional		$44.42	$144.58	$144.58
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $56.09 / $120.83	Professional		$33.92	$56.09	$120.83