Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.84 / $217.91 / $805.60	Professional		$126.84	$217.91	$805.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.02 / $250.86 / $564.14	Professional		$199.02	$250.86	$564.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.41 / $142.71 / $243.56	Professional		$115.41	$142.71	$243.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $307.73 / $478.09	Professional		$143.44	$307.73	$478.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.28 / $307.07 / $907.92	Professional		$142.28	$307.07	$907.92
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 $221.40 / $305.49 / $471.71	Professional		$221.40	$305.49	$471.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $668.80 / $907.92	Professional		$155.02	$668.80	$907.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $451.30 / $451.30	Professional		$179.01	$451.30	$451.30
United Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $205.33 / $488.52	Professional		$90.00	$205.33	$488.52