Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $30.89 / $95.00	Professional		$20.26	$30.89	$95.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.85 / $14.66 / $48.56	Professional	52	$9.85	$14.66	$48.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $52.37 / $103.97	Professional		$23.00	$52.37	$103.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $64.45 / $83.13	Professional		$31.40	$64.45	$83.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $34.82 / $105.84	Professional		$19.60	$34.82	$105.84
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 $37.75 / $69.45 / $98.44	Professional		$37.75	$69.45	$98.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $123.80 / $162.13	Professional		$36.03	$123.80	$162.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $90.90 / $90.90	Professional		$22.21	$90.90	$90.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $33.88 / $74.68	Professional		$20.48	$33.88	$74.68