Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $251.19	Professional		$114.82	$151.36	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $467.74	Professional		$190.55	$245.47	$467.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $154.88	Professional		$131.83	$141.25	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $288.40 / $467.74	Professional		$128.82	$288.40	$467.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $354.81	Professional		$208.93	$257.04	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $891.25	Professional		$141.25	$229.09	$891.25
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 $190.55 / $338.84 / $489.78	Professional		$190.55	$338.84	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $691.83 / $891.25	Professional		$128.82	$691.83	$891.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $467.74	Professional		$165.96	$239.88	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $407.38	Professional		$134.90	$181.97	$407.38