Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.86 / $336.48 / $1,111.00	Professional		$235.86	$336.48	$1,111.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $504.36 / $1,468.20	Professional		$226.53	$504.36	$1,468.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $268.83 / $268.83 / $268.83	Professional		$268.83	$268.83	$268.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $1,029.47 / $1,169.84	Professional		$199.98	$1,029.47	$1,169.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.68 / $508.00 / $1,548.19	Professional		$234.68	$508.00	$1,548.19
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 $419.40 / $532.22 / $979.13	Professional		$419.40	$532.22	$979.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $1,247.25 / $1,548.19	Professional		$199.98	$1,247.25	$1,548.19
United Facility/Professional Professional Modifier Low / Median / High Price $234.68 / $569.59 / $1,176.66	Professional		$234.68	$569.59	$1,176.66