Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $160.19 / $480.00	Professional		$127.46	$160.19	$480.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.69 / $209.42 / $797.57	Professional		$122.69	$209.42	$797.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.72 / $351.62 / $399.56	Professional		$188.72	$351.62	$399.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.32 / $219.65 / $903.71	Professional		$131.32	$219.65	$903.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $126.15 / $284.75	Professional		$76.01	$126.15	$284.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $281.16 / $390.50	Professional		$213.00	$281.16	$390.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $203.87 / $665.60 / $903.71	Professional		$203.87	$665.60	$903.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $256.77 / $563.55 / $625.66	Professional		$256.77	$563.55	$625.66
United Facility/Professional Professional Modifier Low / Median / High Price $131.32 / $214.88 / $445.03	Professional		$131.32	$214.88	$445.03