Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $47.14 / $172.00	Professional		$33.34	$47.14	$172.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $59.95 / $130.27	Professional		$50.10	$59.95	$130.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $42.19 / $72.50	Professional		$34.03	$42.19	$72.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $87.20 / $131.16	Professional		$38.29	$87.20	$131.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $68.31 / $314.92	Professional		$32.36	$68.31	$314.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $52.71 / $71.18	Professional		$21.18	$52.71	$71.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $85.54 / $118.80	Professional		$64.80	$85.54	$118.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $151.90 / $314.92	Professional		$39.51	$151.90	$314.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $123.81 / $123.81	Professional		$46.86	$123.81	$123.81
United Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $54.68 / $110.95	Professional		$30.38	$54.68	$110.95