Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $93.28 / $93.28	Professional		$61.27	$93.28	$93.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.81 / $22.81 / $22.81	Professional	52	$22.81	$22.81	$22.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $107.70 / $250.35	Professional		$55.65	$107.70	$250.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $57.99 / $57.99	Professional		$57.99	$57.99	$57.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $90.00 / $189.01	Professional		$72.00	$90.00	$189.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $98.70 / $98.70	Professional		$98.70	$98.70	$98.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $64.33 / $121.83	Professional		$33.56	$64.33	$121.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $61.91 / $130.01	Professional		$38.00	$61.91	$130.01
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $98.70 / $98.70	Professional		$98.70	$98.70	$98.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $148.29 / $206.80	Professional		$70.37	$148.29	$206.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $447.30 / $447.30	Professional		$113.35	$447.30	$447.30
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $49.27 / $112.43	Professional		$32.11	$49.27	$112.43