Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $32.72 / $118.05	Professional		$17.79	$32.72	$118.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $43.05 / $124.39	Professional		$27.80	$43.05	$124.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $74.13 / $149.22	Professional		$32.79	$74.13	$149.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $91.54 / $336.04	Professional		$38.54	$91.54	$336.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $58.30 / $85.00	Professional		$20.68	$58.30	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $67.68 / $105.67	Professional		$40.42	$67.68	$105.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $138.24 / $336.04	Professional		$40.38	$138.24	$336.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $117.99 / $209.00	Professional		$60.69	$117.99	$209.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $75.56 / $146.15	Professional		$37.39	$75.56	$146.15