Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $204.17	Professional		$33.11	$47.86	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $162.18	Professional		$35.48	$54.95	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $69.18	Professional		$33.11	$38.02	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $128.82	Professional		$61.66	$104.71	$128.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $107.15	Professional		$63.10	$83.18	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $85.11 / $537.03	Professional		$38.02	$85.11	$537.03
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 $44.67 / $83.18 / $269.15	Professional		$44.67	$83.18	$269.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $537.03	Professional		$275.42	$537.03	$537.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $245.47	Professional		$123.03	$190.55	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $66.07 / $144.54	Professional		$36.31	$66.07	$144.54