Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $51.25 / $101.73	Professional		$23.75	$51.25	$101.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $92.53 / $228.47	Professional		$42.64	$92.53	$228.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $71.79 / $166.09	Professional		$31.46	$71.79	$166.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $114.19 / $1,236.00	Professional		$57.68	$114.19	$1,236.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $33.89 / $79.66	Professional		$19.34	$33.89	$79.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $106.94 / $199.05	Professional		$64.83	$106.94	$199.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $141.60 / $1,462.00	Professional		$35.77	$141.60	$1,462.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $119.36 / $261.48	Professional		$64.34	$119.36	$261.48
United Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $89.68 / $235.38	Professional		$56.02	$89.68	$235.38