Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $87.10	Professional		$42.66	$52.48	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $165.96	Professional		$50.12	$70.79	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $147.91	Professional		$48.98	$100.00	$147.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $128.82	Professional		$77.62	$93.33	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $346.74	Professional		$56.23	$89.13	$346.74
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 $60.26 / $114.82 / $169.82	Professional		$60.26	$114.82	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $186.21 / $346.74	Professional		$48.98	$186.21	$346.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $97.72	Professional		$61.66	$83.18	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $138.04	Professional		$52.48	$74.13	$138.04