Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $47.98 / $130.84	Professional		$31.41	$47.98	$130.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.26 / $22.78 / $59.50	Professional	52	$15.26	$22.78	$59.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $81.34 / $162.68	Professional		$36.32	$81.34	$162.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $41.91 / $41.91	Professional		$41.91	$41.91	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $100.12 / $129.33	Professional		$49.15	$100.12	$129.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $52.81 / $156.10	Professional		$29.12	$52.81	$156.10
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 $58.49 / $107.63 / $155.10	Professional		$58.49	$107.63	$155.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $192.60 / $255.46	Professional		$56.06	$192.60	$255.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $141.41 / $141.41	Professional		$44.42	$141.41	$141.41
United Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $52.81 / $119.71	Professional		$30.41	$52.81	$119.71