Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $758.58	Professional		$120.23	$218.78	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $501.19	Professional		$194.98	$251.19	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $251.19	Professional		$120.23	$147.91	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $295.12 / $489.78	Professional		$131.83	$295.12	$489.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $371.54	Professional		$218.78	$269.15	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $912.01	Professional		$134.90	$263.03	$912.01
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 $177.83 / $316.23 / $467.74	Professional		$177.83	$316.23	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $676.08 / $912.01	Professional		$131.83	$676.08	$912.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $446.68	Professional		$177.83	$251.19	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $398.11	Professional		$134.90	$190.55	$398.11