Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.07 / $123.86 / $253.73	Professional		$104.07	$123.86	$253.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $199.47 / $581.95	Professional		$99.74	$199.47	$581.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $270.82 / $376.09	Professional		$114.80	$270.82	$376.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $192.43 / $888.45	Professional		$107.85	$192.43	$888.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $97.84 / $223.48	Professional		$59.78	$97.84	$223.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.60 / $253.20 / $438.81	Professional		$192.60	$253.20	$438.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.43 / $530.65 / $888.45	Professional		$167.43	$530.65	$888.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $433.81 / $592.82 / $731.38	Professional		$433.81	$592.82	$731.38
United Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $175.66 / $464.84	Professional		$106.13	$175.66	$464.84