Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $79.64 / $331.00	Professional		$63.35	$79.64	$331.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $81.61 / $276.04	Professional		$68.20	$81.61	$276.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $96.24 / $124.89	Professional		$96.07	$96.24	$124.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $109.90 / $296.76	Professional		$81.06	$109.90	$296.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $90.88 / $311.85	Professional		$72.41	$90.88	$311.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $124.66 / $269.03	Professional		$78.08	$124.66	$269.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $239.87 / $336.44	Professional		$131.55	$239.87	$336.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $445.50 / $637.99	Professional		$108.03	$445.50	$637.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.69 / $285.35 / $285.35	Professional		$120.69	$285.35	$285.35
United Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $91.07 / $243.24	Professional		$74.98	$91.07	$243.24