Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.42 / $248.17 / $359.08	Professional		$178.42	$248.17	$359.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.25 / $380.83 / $1,047.83	Professional		$188.25	$380.83	$1,047.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.36 / $737.73 / $838.33	Professional		$247.36	$737.73	$838.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.38 / $504.73 / $1,529.71	Professional		$209.38	$504.73	$1,529.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $122.26 / $318.61	Professional		$50.97	$122.26	$318.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $402.29 / $800.70	Professional		$331.50	$402.29	$800.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $350.80 / $931.25 / $1,529.71	Professional		$350.80	$931.25	$1,529.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $646.90 / $1,287.89 / $1,287.89	Professional		$646.90	$1,287.89	$1,287.89
United Facility/Professional Professional Modifier Low / Median / High Price $209.38 / $454.82 / $1,045.44	Professional		$209.38	$454.82	$1,045.44