Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $259.55 / $439.97	Professional		$64.92	$259.55	$439.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $231.86 / $564.22	Professional		$57.07	$231.86	$564.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $239.91 / $495.14	Professional		$219.05	$239.91	$495.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.30 / $644.53 / $782.92	Professional		$393.30	$644.53	$782.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $74.98 / $1,201.97	Professional		$42.22	$74.98	$1,201.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $85.00 / $533.29	Professional		$20.10	$85.00	$533.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $552.16 / $770.00	Professional		$115.68	$552.16	$770.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.54 / $960.98 / $1,201.97	Professional		$380.54	$960.98	$1,201.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,527.05 / $1,527.05 / $1,527.05	Professional		$1,527.05	$1,527.05	$1,527.05
United Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $79.95 / $225.37	Professional		$42.22	$79.95	$225.37