Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $52.48	Professional		$28.18	$37.15	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $75.86 / $169.82	Professional		$36.31	$75.86	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $97.72 / $125.89	Professional		$35.48	$97.72	$125.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $125.89	Professional		$63.10	$95.50	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $239.88	Professional		$26.92	$46.77	$239.88
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 $40.74 / $89.13 / $138.04	Professional		$40.74	$89.13	$138.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $190.55 / $239.88	Professional		$33.11	$190.55	$239.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $134.90	Professional		$64.57	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $109.65	Professional		$25.70	$43.65	$109.65