Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $55.56 / $76.17	Professional		$37.72	$55.56	$76.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $103.87 / $207.75	Professional		$45.88	$103.87	$207.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $127.86 / $163.99	Professional		$64.31	$127.86	$163.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $67.20 / $202.60	Professional		$39.45	$67.20	$202.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $90.17 / $140.63	Professional		$42.57	$90.17	$140.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $137.29 / $192.56	Professional		$73.83	$137.29	$192.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $244.22 / $322.74	Professional		$71.09	$244.22	$322.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $179.31 / $179.31	Professional		$26.65	$179.31	$179.31
United Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $68.30 / $152.35	Professional		$41.72	$68.30	$152.35