Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $117.52 / $200.95	Professional		$94.50	$117.52	$200.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $155.29 / $472.61	Professional		$103.78	$155.29	$472.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $275.45 / $382.77	Professional		$142.96	$275.45	$382.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.94 / $271.98 / $695.50	Professional		$117.94	$271.98	$695.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $95.64 / $207.99	Professional		$59.78	$95.64	$207.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $250.05 / $348.70	Professional		$159.63	$250.05	$348.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $543.95 / $695.50	Professional		$207.19	$543.95	$695.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $248.14 / $429.88 / $556.37	Professional		$248.14	$429.88	$556.37
United Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $218.20 / $419.50	Professional		$114.20	$218.20	$419.50