Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $113.76 / $399.95	Professional		$95.57	$113.76	$399.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $232.92 / $578.64	Professional		$114.50	$232.92	$578.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.63 / $369.06 / $555.78	Professional		$169.63	$369.06	$555.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $267.00 / $897.92	Professional		$124.34	$267.00	$897.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $72.74 / $219.68	Professional		$25.84	$72.74	$219.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $293.04 / $420.17	Professional		$222.00	$293.04	$420.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $212.87 / $514.85 / $897.92	Professional		$212.87	$514.85	$897.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $336.97 / $678.67 / $778.33	Professional		$336.97	$678.67	$778.33
United Facility/Professional Professional Modifier Low / Median / High Price $119.65 / $241.36 / $512.24	Professional		$119.65	$241.36	$512.24