Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $100.26 / $619.53	Professional		$62.62	$100.26	$619.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $121.48 / $265.36	Professional		$95.54	$121.48	$265.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $70.66 / $120.89	Professional		$57.10	$70.66	$120.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $151.80 / $235.30	Professional		$70.43	$151.80	$235.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $140.74 / $446.74	Professional		$68.95	$140.74	$446.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $92.86 / $138.97	Professional		$42.37	$92.86	$138.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $149.57 / $226.76	Professional		$109.20	$149.57	$226.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $325.05 / $446.74	Professional		$76.30	$325.05	$446.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.62 / $222.13 / $222.13	Professional		$87.62	$222.13	$222.13
United Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $107.40 / $237.43	Professional		$65.01	$107.40	$237.43