Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $114.97 / $412.80	Professional		$78.28	$114.97	$412.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $180.66 / $458.72	Professional		$99.16	$180.66	$458.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $309.69 / $510.47	Professional		$132.00	$309.69	$510.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $260.26 / $929.60	Professional		$125.98	$260.26	$929.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $111.73 / $250.69	Professional		$58.91	$111.73	$250.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $201.33 / $294.39 / $433.94	Professional		$201.33	$294.39	$433.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $529.83 / $929.60	Professional		$178.11	$529.83	$929.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $543.11 / $801.01	Professional		$263.20	$543.11	$801.01
United Facility/Professional Professional Modifier Low / Median / High Price $120.75 / $228.31 / $494.72	Professional		$120.75	$228.31	$494.72