Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $15.67 / $45.00	Professional		$7.85	$15.67	$45.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $13.08 / $52.85	Professional		$8.50	$13.08	$52.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $8.07 / $17.05	Professional		$7.37	$8.07	$17.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $23.42 / $28.68	Professional		$15.24	$23.42	$28.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $21.60 / $280.20	Professional		$9.02	$21.60	$280.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.08 / $58.40 / $85.00	Professional		$16.08	$58.40	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $22.70 / $144.16	Professional		$14.40	$22.70	$144.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $149.77 / $280.20	Professional		$34.92	$149.77	$280.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $55.47 / $78.73	Professional		$36.39	$55.47	$78.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $17.59 / $51.04	Professional		$9.02	$17.59	$51.04