Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $70.79	Professional		$15.14	$21.88	$70.79
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.38 / $17.38 / $17.38	Professional	CQ	$17.38	$17.38	$17.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $75.86	Professional		$20.89	$24.55	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.84	Professional		$28.18	$28.18	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $91.20	Professional		$25.70	$44.67	$91.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $87.10	Professional		$54.95	$61.66	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $190.55	Professional		$23.44	$28.84	$190.55
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 $26.30 / $66.07 / $95.50	Professional		$26.30	$66.07	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $144.54 / $190.55	Professional		$28.18	$144.54	$190.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $67.61 / $85.11	Professional		$35.48	$67.61	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $47.86	Professional		$23.44	$28.84	$47.86