Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $41.10 / $137.40	Professional		$27.38	$41.10	$137.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $53.06 / $142.05	Professional		$26.97	$53.06	$142.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $63.32 / $132.08	Professional		$30.72	$63.32	$132.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $63.84 / $788.00	Professional		$30.47	$63.84	$788.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $70.00 / $104.11	Professional		$36.03	$70.00	$104.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $68.90 / $98.80	Professional		$50.55	$68.90	$98.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.51 / $137.40 / $788.00	Professional		$46.51	$137.40	$788.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $263.60 / $280.01	Professional		$113.69	$263.60	$280.01
United Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $57.70 / $126.44	Professional		$30.06	$57.70	$126.44