Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $77.55 / $324.00	Professional		$54.94	$77.55	$324.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $104.63 / $237.89	Professional		$82.70	$104.63	$237.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $61.05 / $104.64	Professional		$49.25	$61.05	$104.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $133.97 / $201.28	Professional		$61.06	$133.97	$201.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $119.96 / $374.39	Professional		$59.91	$119.96	$374.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $54.09 / $73.66	Professional		$21.18	$54.09	$73.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $129.02 / $195.47	Professional		$94.20	$129.02	$195.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $280.45 / $374.39	Professional		$67.09	$280.45	$374.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $189.97 / $189.97	Professional		$89.22	$189.97	$189.97
United Facility/Professional Professional Modifier Low / Median / High Price $56.09 / $97.30 / $204.85	Professional		$56.09	$97.30	$204.85