Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $112.31 / $404.20	Professional		$84.48	$112.31	$404.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $192.38 / $441.81	Professional		$110.98	$192.38	$441.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.58 / $343.19 / $389.99	Professional		$166.58	$343.19	$389.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $183.73 / $521.82	Professional		$116.61	$183.73	$521.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $125.50 / $275.78	Professional		$78.44	$125.50	$275.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.89 / $311.61 / $437.05	Professional		$170.89	$311.61	$437.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.07 / $580.77 / $838.72	Professional		$169.07	$580.77	$838.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $216.36 / $426.48 / $426.48	Professional		$216.36	$426.48	$426.48
United Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $175.28 / $366.00	Professional		$116.61	$175.28	$366.00