Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $27.11 / $97.00	Professional		$22.50	$27.11	$97.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $39.58 / $81.06	Professional		$20.61	$39.58	$81.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $25.31 / $29.89	Professional		$23.01	$25.31	$29.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $51.66 / $71.55	Professional		$21.64	$51.66	$71.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $32.88 / $100.94	Professional		$20.25	$32.88	$100.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $33.09 / $70.00	Professional		$19.34	$33.09	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $59.16 / $82.50	Professional		$44.93	$59.16	$82.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $106.56 / $153.47	Professional		$26.48	$106.56	$153.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $87.24 / $87.24	Professional		$37.24	$87.24	$87.24
United Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $32.72 / $80.06	Professional		$19.88	$32.72	$80.06