Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $15.57 / $54.42	Professional		$13.56	$15.57	$54.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $17.04 / $63.00	Professional		$13.55	$17.04	$63.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $17.88 / $23.15	Professional		$17.80	$17.88	$23.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $36.81 / $106.98	Professional		$16.82	$36.81	$106.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $23.85 / $143.87	Professional		$18.11	$23.85	$143.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $65.00 / $90.20	Professional		$18.11	$65.00	$90.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $44.27 / $62.74	Professional		$25.04	$44.27	$62.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $102.30 / $143.87	Professional		$22.55	$102.30	$143.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $54.17 / $54.17	Professional		$26.71	$54.17	$54.17
United Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $21.50 / $59.86	Professional		$18.10	$21.50	$59.86