Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $52.00 / $156.54	Professional		$33.22	$52.00	$156.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.84 / $22.55 / $58.82	Professional	52	$18.84	$22.55	$58.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $57.70 / $173.96	Professional		$35.29	$57.70	$173.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $35.17 / $72.94	Professional		$32.11	$35.17	$72.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $102.26 / $125.47	Professional		$66.20	$102.26	$125.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $83.23 / $542.50	Professional		$36.81	$83.23	$542.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $46.43 / $72.52	Professional		$20.68	$46.43	$72.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $97.42 / $268.83	Professional		$61.80	$97.42	$268.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $152.46 / $264.38 / $542.50	Professional		$152.46	$264.38	$542.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.88 / $206.69 / $242.22	Professional		$123.88	$206.69	$242.22
United Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $71.78 / $152.12	Professional		$36.81	$71.78	$152.12