Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $123.16 / $435.76	Professional		$66.73	$123.16	$435.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.50 / $45.44 / $119.01	Professional	52	$33.50	$45.44	$119.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $130.82 / $417.37	Professional		$69.61	$130.82	$417.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $76.64 / $160.44	Professional		$69.97	$76.64	$160.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.85 / $208.41 / $272.52	Professional		$120.85	$208.41	$272.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $154.06 / $1,420.00	Professional		$74.58	$154.06	$1,420.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $65.66 / $139.59	Professional		$40.93	$65.66	$139.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $207.13 / $593.66	Professional		$131.40	$207.13	$593.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $361.06 / $1,420.00	Professional		$124.10	$361.06	$1,420.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $310.50 / $418.15 / $493.75	Professional		$310.50	$418.15	$493.75
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $143.80 / $302.26	Professional		$73.09	$143.80	$302.26