Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $55.57 / $113.31	Professional		$42.25	$55.57	$113.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $114.79 / $332.53	Professional		$50.81	$114.79	$332.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $187.21 / $212.74	Professional		$53.75	$187.21	$212.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $133.44 / $351.86	Professional		$56.60	$133.44	$351.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $40.04 / $77.04	Professional		$19.34	$40.04	$77.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $129.10 / $225.36	Professional		$105.95	$129.10	$225.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $266.89 / $351.86	Professional		$78.95	$266.89	$351.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $322.14 / $333.59	Professional		$102.57	$322.14	$333.59
United Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $121.88 / $233.94	Professional		$56.30	$121.88	$233.94