Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.05 / $285.00 / $656.90	Professional		$201.05	$285.00	$656.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.15 / $286.58 / $1,141.44	Professional		$189.15	$286.58	$1,141.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.97 / $504.52 / $635.48	Professional		$273.97	$504.52	$635.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.98 / $409.34 / $1,722.48	Professional		$203.98	$409.34	$1,722.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $158.49 / $353.15	Professional		$95.17	$158.49	$353.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $477.63 / $573.48	Professional		$303.00	$477.63	$573.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $297.87 / $966.10 / $1,722.48	Professional		$297.87	$966.10	$1,722.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $260.55 / $1,154.04 / $1,195.33	Professional		$260.55	$1,154.04	$1,195.33
United Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $355.91 / $846.79	Professional		$200.78	$355.91	$846.79