Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $22.54 / $52.41	Professional		$14.40	$22.54	$52.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $24.36 / $76.73	Professional		$20.70	$24.36	$76.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.18 / $36.63	Professional		$28.16	$28.18	$36.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $77.86 / $106.98	Professional		$25.93	$77.86	$106.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $28.84 / $189.35	Professional		$24.13	$28.84	$189.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $30.95 / $70.31	Professional		$19.71	$30.95	$70.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $70.95 / $99.53	Professional		$24.17	$70.95	$99.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $144.19 / $189.35	Professional		$32.21	$144.19	$189.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $85.06 / $85.06	Professional		$35.29	$85.06	$85.06
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $28.84 / $72.95	Professional		$25.43	$28.84	$72.95