Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $16.75 / $61.00	Professional		$12.42	$16.75	$61.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $22.97 / $72.58	Professional		$12.21	$22.97	$72.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $13.83 / $29.52	Professional		$12.63	$13.83	$29.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $36.88 / $45.05	Professional		$20.32	$36.88	$45.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $24.85 / $144.00	Professional		$13.05	$24.85	$144.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $43.92 / $70.00	Professional		$8.43	$43.92	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $37.83 / $89.61	Professional		$24.00	$37.83	$89.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $60.75 / $144.00	Professional		$21.78	$60.75	$144.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $68.73 / $87.38	Professional		$49.22	$68.73	$87.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $23.05 / $50.12	Professional		$12.99	$23.05	$50.12