Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $49.16 / $176.00	Professional		$37.22	$49.16	$176.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $89.09 / $183.30	Professional		$43.89	$89.09	$183.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $40.85 / $40.85	Professional		$40.85	$40.85	$40.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $82.67 / $128.85	Professional		$40.11	$82.67	$128.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $72.05 / $252.18	Professional		$41.43	$72.05	$252.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $94.95 / $139.53	Professional		$41.54	$94.95	$139.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $100.76 / $142.63	Professional		$48.84	$100.76	$142.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $189.70 / $290.70	Professional		$55.50	$189.70	$290.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $116.67 / $140.88	Professional		$65.33	$116.67	$140.88
United Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $63.71 / $150.61	Professional		$41.08	$63.71	$150.61