Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $39.81	Professional		$21.88	$28.84	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $104.71	Professional		$26.30	$30.90	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $114.82	Professional		$32.36	$57.54	$114.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $109.65	Professional		$69.18	$77.62	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $239.88	Professional		$33.11	$38.02	$239.88
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 $41.69 / $87.10 / $123.03	Professional		$41.69	$87.10	$123.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $190.55 / $239.88	Professional		$37.15	$190.55	$239.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $89.13 / $107.15	Professional		$42.66	$89.13	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $63.10	Professional		$32.36	$38.02	$63.10