Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $141.25	Professional		$19.95	$38.90	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $112.20	Professional		$24.55	$36.31	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $40.74	Professional		$19.05	$21.88	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $61.66 / $74.13	Professional		$32.36	$61.66	$74.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $67.61	Professional		$36.31	$47.86	$67.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $50.12 / $323.59	Professional		$26.92	$50.12	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $102.33	Professional		$40.74	$72.44	$102.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $131.83 / $323.59	Professional		$29.51	$131.83	$323.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $154.88	Professional		$89.13	$125.89	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $83.18	Professional		$26.92	$42.66	$83.18