Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $61.59 / $170.27	Professional		$43.07	$61.59	$170.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.69 / $99.64 / $259.95	Professional		$54.69	$99.64	$259.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $158.56 / $290.25	Professional		$69.20	$158.56	$290.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $150.38 / $473.20	Professional		$72.25	$150.38	$473.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $85.00 / $157.91	Professional		$41.03	$85.00	$157.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $150.25 / $221.47	Professional		$103.71	$150.25	$221.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $268.88 / $473.20	Professional		$95.35	$268.88	$473.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $278.64 / $406.52	Professional		$135.86	$278.64	$406.52
United Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $129.69 / $278.64	Professional		$68.95	$129.69	$278.64