Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $76.04 / $212.42	Professional		$48.68	$76.04	$212.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $181.80 / $459.81	Professional		$75.75	$181.80	$459.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $177.75 / $326.06	Professional		$78.48	$177.75	$326.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $284.58 / $590.49	Professional		$97.79	$284.58	$590.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $110.23 / $241.85	Professional		$59.63	$110.23	$241.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $187.65 / $323.33	Professional		$110.68	$187.65	$323.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $384.00 / $1,193.03	Professional		$67.93	$384.00	$1,193.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $183.89 / $280.93 / $559.98	Professional		$183.89	$280.93	$559.98
United Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $256.38 / $371.95	Professional		$90.48	$256.38	$371.95