Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.15 / $133.02 / $403.30	Professional		$122.15	$133.02	$403.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.98 / $316.31 / $686.28	Professional		$119.98	$316.31	$686.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.07 / $383.34 / $505.38	Professional		$180.07	$383.34	$505.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $350.20 / $641.72	Professional		$138.31	$350.20	$641.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $143.47 / $325.63	Professional		$50.00	$143.47	$325.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $236.60 / $365.35 / $430.36	Professional		$236.60	$365.35	$430.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $600.00 / $1,156.83	Professional		$170.83	$600.00	$1,156.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $352.32 / $593.49 / $593.49	Professional		$352.32	$593.49	$593.49
United Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $339.84 / $562.85	Professional		$128.35	$339.84	$562.85