Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.51 / $53.13 / $143.50	Professional		$46.51	$53.13	$143.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $73.72 / $167.99	Professional		$47.43	$73.72	$167.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $125.25 / $142.33	Professional		$60.36	$125.25	$142.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $79.90 / $310.24	Professional		$37.13	$79.90	$310.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $63.30 / $135.51	Professional		$39.92	$63.30	$135.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $115.95 / $159.02	Professional		$54.39	$115.95	$159.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.86 / $254.80 / $310.24	Professional		$67.86	$254.80	$310.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $252.96 / $252.96	Professional		$116.56	$252.96	$252.96
United Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $76.84 / $191.10	Professional		$42.34	$76.84	$191.10