Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.76 / $184.69 / $753.50	Professional		$124.76	$184.69	$753.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.07 / $251.70 / $554.25	Professional		$192.07	$251.70	$554.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.48 / $140.10 / $238.60	Professional		$113.48	$140.10	$238.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $303.81 / $470.25	Professional		$141.24	$303.81	$470.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.27 / $289.29 / $976.46	Professional		$141.27	$289.29	$976.46
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 $217.80 / $299.45 / $479.64	Professional		$217.80	$299.45	$479.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $668.15 / $976.46	Professional		$159.46	$668.15	$976.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $192.09 / $443.93 / $443.93	Professional		$192.09	$443.93	$443.93
United Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $225.95 / $488.04	Professional		$133.63	$225.95	$488.04