Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $151.25 / $441.10	Professional		$109.49	$151.25	$441.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.65 / $279.36 / $598.10	Professional		$135.65	$279.36	$598.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.72 / $330.41 / $536.38	Professional		$166.72	$330.41	$536.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.96 / $494.28 / $1,021.17	Professional		$167.96	$494.28	$1,021.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $202.93 / $344.34	Professional		$77.22	$202.93	$344.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.49 / $356.58 / $536.76	Professional		$239.49	$356.58	$536.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.85 / $648.32 / $1,128.08	Professional		$145.85	$648.32	$1,128.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $330.85 / $625.89 / $921.18	Professional		$330.85	$625.89	$921.18
United Facility/Professional Professional Modifier Low / Median / High Price $165.06 / $419.44 / $643.23	Professional		$165.06	$419.44	$643.23