Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.18 / $350.12 / $1,316.00	Professional		$236.18	$350.12	$1,316.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.88 / $489.08 / $1,416.81	Professional		$225.88	$489.08	$1,416.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $267.62 / $267.62	Professional		$267.62	$267.62	$267.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $1,024.97 / $1,164.74	Professional		$199.09	$1,024.97	$1,164.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.12 / $510.86 / $1,543.86	Professional		$215.12	$510.86	$1,543.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $213.97 / $455.04	Professional		$129.06	$213.97	$455.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $417.52 / $529.85 / $974.86	Professional		$417.52	$529.85	$974.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $1,245.55 / $1,543.86	Professional		$199.09	$1,245.55	$1,543.86
United Facility/Professional Professional Modifier Low / Median / High Price $215.12 / $475.80 / $1,140.50	Professional		$215.12	$475.80	$1,140.50