Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $25.90 / $62.35	Professional		$14.15	$25.90	$62.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $56.59 / $137.61	Professional		$27.03	$56.59	$137.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $42.90 / $89.38	Professional		$19.39	$42.90	$89.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $82.24 / $193.62	Professional		$41.37	$82.24	$193.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $33.89 / $72.74	Professional		$19.34	$33.89	$72.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $57.92 / $101.18	Professional		$37.72	$57.92	$101.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $86.40 / $489.00	Professional		$21.37	$86.40	$489.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $71.31 / $130.79	Professional		$37.86	$71.31	$130.79
United Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $71.43 / $164.09	Professional		$41.12	$71.43	$164.09