Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $44.65 / $143.49	Professional		$41.36	$44.65	$143.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $116.24 / $231.52	Professional		$50.60	$116.24	$231.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $83.08 / $154.18	Professional		$46.87	$83.08	$154.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $100.08 / $366.48	Professional		$48.84	$100.08	$366.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $65.66 / $147.84	Professional		$39.56	$65.66	$147.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $135.97 / $174.90	Professional		$96.20	$135.97	$174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $223.02 / $393.44	Professional		$57.11	$223.02	$393.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $178.38 / $225.62	Professional		$93.43	$178.38	$225.62
United Facility/Professional Professional Modifier Low / Median / High Price $48.67 / $81.80 / $210.61	Professional		$48.67	$81.80	$210.61