Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $234.42 / $398.11	Professional		$41.69	$234.42	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $281.84 / $588.84	Professional		$72.44	$281.84	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $489.78	Professional		$234.42	$257.04	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $691.83 / $891.25	Professional		$380.19	$691.83	$891.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $707.95	Professional		$446.68	$562.34	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $1,258.93	Professional		$41.69	$74.13	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $85.11	Professional		$32.36	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $549.54 / $831.76	Professional		$151.36	$549.54	$831.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,000.00 / $1,258.93	Professional		$363.08	$1,000.00	$1,258.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,584.89	Professional		$1,122.02	$1,584.89	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $251.19	Professional		$40.74	$70.79	$251.19