Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $42.67 / $58.20	Professional		$27.98	$42.67	$58.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $76.19 / $153.75	Professional		$34.95	$76.19	$153.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $94.75 / $122.59	Professional		$47.10	$94.75	$122.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $48.59 / $154.62	Professional		$26.70	$48.59	$154.62
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 $40.39 / $104.72 / $147.12	Professional		$40.39	$104.72	$147.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $182.57 / $242.47	Professional		$53.14	$182.57	$242.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $134.07 / $134.07	Professional		$60.50	$134.07	$134.07
United Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $52.83 / $114.09	Professional		$29.83	$52.83	$114.09