Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $79.72 / $259.07	Professional		$66.09	$79.72	$259.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $134.55 / $432.95	Professional		$73.76	$134.55	$432.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $179.04 / $221.58	Professional		$85.96	$179.04	$221.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $182.20 / $821.86	Professional		$92.96	$182.20	$821.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $61.88 / $135.59	Professional		$26.80	$61.88	$135.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $200.87 / $295.63	Professional		$131.69	$200.87	$295.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $451.90 / $821.86	Professional		$80.80	$451.90	$821.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $180.94 / $361.62 / $364.19	Professional		$180.94	$361.62	$364.19
United Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $163.78 / $297.45	Professional		$89.62	$163.78	$297.45