Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $133.33 / $510.00	Professional		$73.14	$133.33	$510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $116.69 / $406.45	Professional		$77.84	$116.69	$406.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $73.01 / $152.21	Professional		$66.66	$73.01	$152.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $207.47 / $263.85	Professional		$116.28	$207.47	$263.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $190.50 / $1,554.00	Professional		$90.35	$190.50	$1,554.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $66.31 / $142.37	Professional		$41.36	$66.31	$142.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $199.56 / $560.04	Professional		$126.60	$199.56	$560.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $496.98 / $1,554.00	Professional		$122.50	$496.98	$1,554.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $368.98 / $490.91 / $491.57	Professional		$368.98	$490.91	$491.57
United Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $163.95 / $373.96	Professional		$88.81	$163.95	$373.96