Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $29.63 / $243.20	Professional		$23.94	$29.63	$243.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $60.88 / $169.59	Professional		$26.83	$60.88	$169.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $97.71 / $111.04	Professional		$33.60	$97.71	$111.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $74.48 / $179.52	Professional		$29.95	$74.48	$179.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $30.95 / $74.33	Professional		$19.34	$30.95	$74.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $64.68 / $93.12	Professional		$49.20	$64.68	$93.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $119.48 / $179.52	Professional		$41.15	$119.48	$179.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.68 / $174.13 / $216.85	Professional		$173.68	$174.13	$216.85
United Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $67.39 / $123.59	Professional		$29.95	$67.39	$123.59