Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $37.27 / $54.80	Professional		$28.49	$37.27	$54.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $65.78 / $169.80	Professional		$33.92	$65.78	$169.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $70.63 / $119.63	Professional		$53.98	$70.63	$119.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $44.39 / $137.25	Professional		$27.40	$44.39	$137.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $52.59 / $71.19	Professional		$21.28	$52.59	$71.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $91.63 / $128.72	Professional		$21.67	$91.63	$128.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $168.40 / $233.75	Professional		$74.76	$168.40	$233.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $172.08 / $172.08	Professional		$34.74	$172.08	$172.08
United Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $44.39 / $107.10	Professional		$28.77	$44.39	$107.10