Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $84.69 / $129.31	Professional		$44.62	$84.69	$129.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $137.19 / $300.35	Professional		$64.84	$137.19	$300.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.90 / $112.36 / $237.88	Professional		$44.90	$112.36	$237.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $133.34 / $674.78	Professional		$84.97	$133.34	$674.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $93.15 / $200.74	Professional		$58.91	$93.15	$200.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $160.06 / $307.01	Professional		$86.52	$160.06	$307.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $378.45 / $674.78	Professional		$86.52	$378.45	$674.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $182.07 / $367.44	Professional		$123.60	$182.07	$367.44
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $128.21 / $256.43	Professional		$92.57	$128.21	$256.43