Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $56.88 / $167.00	Professional		$46.68	$56.88	$167.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $128.84 / $367.52	Professional		$75.34	$128.84	$367.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $104.79 / $190.36	Professional		$54.07	$104.79	$190.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $179.93 / $487.68	Professional		$94.87	$179.93	$487.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $65.14 / $149.44	Professional		$27.49	$65.14	$149.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $156.02 / $236.87	Professional		$111.15	$156.02	$236.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $239.54 / $896.81	Professional		$66.00	$239.54	$896.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $242.32 / $278.56	Professional		$99.70	$242.32	$278.56
United Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $154.62 / $384.49	Professional		$84.88	$154.62	$384.49