Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $49.04 / $74.79	Professional		$33.39	$49.04	$74.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $91.64 / $188.64	Professional		$43.49	$91.64	$188.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $107.62 / $143.79	Professional		$53.48	$107.62	$143.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $61.25 / $191.00	Professional		$30.36	$61.25	$191.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $52.59 / $71.19	Professional		$21.28	$52.59	$71.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $114.73 / $161.19	Professional		$34.92	$114.73	$161.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $212.95 / $294.54	Professional		$60.24	$212.95	$294.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $151.94 / $151.94	Professional		$13.33	$151.94	$151.94
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $60.48 / $139.99	Professional		$30.78	$60.48	$139.99