Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $139.90 / $263.08	Professional		$68.00	$139.90	$263.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $190.24 / $489.77	Professional		$79.78	$190.24	$489.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $187.84 / $432.33	Professional		$79.80	$187.84	$432.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.17 / $390.94 / $929.00	Professional		$183.17	$390.94	$929.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $131.81 / $274.63	Professional		$77.22	$131.81	$274.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $276.61 / $487.89	Professional		$148.71	$276.61	$487.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.54 / $555.88 / $929.00	Professional		$130.54	$555.88	$929.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $167.39 / $333.88 / $768.44	Professional		$167.39	$333.88	$768.44
United Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $294.14 / $543.11	Professional		$173.80	$294.14	$543.11