Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $142.46 / $453.68	Professional		$109.94	$142.46	$453.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $330.23 / $740.97	Professional		$133.35	$330.23	$740.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.94 / $348.21 / $524.05	Professional		$174.94	$348.21	$524.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $426.11 / $802.40	Professional		$152.91	$426.11	$802.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $168.25 / $304.98	Professional		$70.00	$168.25	$304.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $237.67 / $346.28 / $493.52	Professional		$237.67	$346.28	$493.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $620.69 / $1,082.32	Professional		$151.41	$620.69	$1,082.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $326.27 / $526.03 / $714.00	Professional		$326.27	$526.03	$714.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $377.02 / $699.23	Professional		$152.91	$377.02	$699.23