Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $79.79 / $158.21	Professional		$57.76	$79.79	$158.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $116.46 / $243.07	Professional		$59.91	$116.46	$243.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $202.31 / $229.90	Professional		$81.91	$202.31	$229.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.37 / $112.39 / $447.41	Professional		$60.37	$112.39	$447.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $67.63 / $138.97	Professional		$39.42	$67.63	$138.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $202.51 / $284.51	Professional		$120.30	$202.51	$284.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $342.36 / $447.41	Professional		$94.01	$342.36	$447.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $280.20 / $280.20	Professional		$105.08	$280.20	$280.20
United Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $105.96 / $240.83	Professional		$62.01	$105.96	$240.83