Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $20.84 / $92.40	Professional		$12.28	$20.84	$92.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $22.75 / $82.04	Professional		$13.50	$22.75	$82.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $11.85 / $24.84	Professional		$10.82	$11.85	$24.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $33.99 / $38.70	Professional		$18.95	$33.99	$38.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $28.84 / $90.53	Professional		$16.23	$28.84	$90.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $58.40 / $85.00	Professional		$10.63	$58.40	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $30.12 / $38.50	Professional		$18.36	$30.12	$38.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $50.67 / $90.53	Professional		$19.70	$50.67	$90.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $74.76 / $80.55	Professional		$50.40	$74.76	$80.55
United Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $26.01 / $61.90	Professional		$15.22	$26.01	$61.90