Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $67.65 / $334.40	Professional		$47.70	$67.65	$334.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $87.56 / $268.62	Professional		$46.80	$87.56	$268.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $132.44 / $166.75	Professional		$72.45	$132.44	$166.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $98.04 / $980.40	Professional		$49.64	$98.04	$980.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $33.89 / $72.52	Professional		$19.71	$33.89	$72.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $130.52 / $269.92	Professional		$82.80	$130.52	$269.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $290.24 / $980.40	Professional		$78.19	$290.24	$980.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $166.45 / $313.76 / $314.98	Professional		$166.45	$313.76	$314.98
United Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $92.92 / $168.34	Professional		$49.38	$92.92	$168.34