Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.31 / $130.34 / $351.36	Professional		$98.31	$130.34	$351.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.49 / $192.45 / $437.23	Professional		$153.49	$192.45	$437.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $110.72 / $189.14	Professional		$89.45	$110.72	$189.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $245.07 / $369.31	Professional		$111.14	$245.07	$369.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $211.33 / $671.69	Professional		$109.18	$211.33	$671.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $139.30 / $208.47	Professional		$59.13	$139.30	$208.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.60 / $235.34 / $363.24	Professional		$171.60	$235.34	$363.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $515.45 / $671.69	Professional		$119.75	$515.45	$671.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $348.64 / $348.64	Professional		$137.05	$348.64	$348.64
United Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $167.38 / $360.82	Professional		$103.09	$167.38	$360.82