Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $239.88	Professional		$102.33	$125.89	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $416.87	Professional		$173.78	$213.80	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $446.68	Professional		$117.49	$251.19	$446.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $323.59	Professional		$199.53	$245.47	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $776.25	Professional		$117.49	$181.97	$776.25
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 $165.96 / $295.12 / $416.87	Professional		$165.96	$295.12	$416.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $588.84 / $776.25	Professional		$117.49	$588.84	$776.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $436.52	Professional		$128.82	$199.53	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $338.84	Professional		$114.82	$151.36	$338.84