Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $64.92 / $206.43	Professional		$43.24	$64.92	$206.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $162.46 / $355.25	Professional		$63.82	$162.46	$355.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $160.29 / $263.41	Professional		$79.63	$160.29	$263.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $189.95 / $373.27	Professional		$74.34	$189.95	$373.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $85.00 / $167.09	Professional		$45.20	$85.00	$167.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $171.43 / $260.81	Professional		$110.59	$171.43	$260.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $329.67 / $858.57	Professional		$79.63	$329.67	$858.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $127.27 / $257.72 / $423.42	Professional		$127.27	$257.72	$423.42
United Facility/Professional Professional Modifier Low / Median / High Price $70.26 / $165.95 / $291.29	Professional		$70.26	$165.95	$291.29