Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $166.24 / $339.72	Professional		$74.62	$166.24	$339.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.83 / $333.39 / $1,077.58	Professional		$115.83	$333.39	$1,077.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $327.58 / $927.30	Professional		$129.25	$327.58	$927.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.61 / $630.55 / $1,646.32	Professional		$197.61	$630.55	$1,646.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $278.57 / $501.35	Professional		$85.00	$278.57	$501.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $180.73 / $362.71 / $741.55	Professional		$180.73	$362.71	$741.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $842.66 / $1,646.32	Professional		$153.40	$842.66	$1,646.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $299.54 / $552.23 / $1,132.24	Professional		$299.54	$552.23	$1,132.24
United Facility/Professional Professional Modifier Low / Median / High Price $196.05 / $406.77 / $888.11	Professional		$196.05	$406.77	$888.11