Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $120.23	Professional		$30.90	$44.67	$120.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $40.74 / $41.69 / $63.10	Professional	52	$40.74	$41.69	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $81.28 / $177.83	Professional		$36.31	$81.28	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $102.33 / $131.83	Professional		$38.02	$102.33	$131.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $131.83	Professional		$66.07	$97.72	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $52.48 / $208.93	Professional		$28.84	$52.48	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $151.36	Professional		$51.29	$100.00	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $194.98 / $257.04	Professional		$32.36	$194.98	$257.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $141.25 / $141.25	Professional		$44.67	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $114.82	Professional		$27.54	$45.71	$114.82