Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $124.41 / $425.47	Professional		$83.97	$124.41	$425.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.37 / $193.78 / $490.82	Professional		$106.37	$193.78	$490.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $313.39 / $575.05	Professional		$133.58	$313.39	$575.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $280.94 / $934.48	Professional		$130.19	$280.94	$934.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $114.88 / $252.75	Professional		$58.91	$114.88	$252.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.85 / $294.39 / $433.94	Professional		$202.85	$294.39	$433.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $532.71 / $934.48	Professional		$180.95	$532.71	$934.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $265.99 / $551.76 / $805.37	Professional		$265.99	$551.76	$805.37
United Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $236.87 / $526.94	Professional		$119.22	$236.87	$526.94