Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $39.86 / $49.65	Professional		$31.55	$39.86	$49.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $120.64 / $248.62	Professional		$17.30	$120.64	$248.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $54.28 / $127.86	Professional		$20.90	$54.28	$127.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $45.54 / $266.52	Professional		$30.26	$45.54	$266.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $65.00 / $150.21	Professional		$19.66	$65.00	$150.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $97.02 / $136.31	Professional		$73.23	$97.02	$136.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $161.80 / $266.52	Professional		$20.90	$161.80	$266.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $217.25 / $217.25	Professional		$208.90	$217.25	$217.25
United Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $43.38 / $124.93	Professional		$32.63	$43.38	$124.93