Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $22.89 / $39.04	Professional		$19.57	$22.89	$39.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $30.30 / $87.11	Professional		$20.20	$30.30	$87.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $53.26 / $78.04	Professional		$28.07	$53.26	$78.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $53.28 / $276.20	Professional		$23.28	$53.28	$276.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $65.00 / $73.25	Professional		$28.23	$65.00	$73.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $50.48 / $70.40	Professional		$32.22	$50.48	$70.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $108.25 / $276.20	Professional		$40.06	$108.25	$276.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $85.16 / $107.56	Professional		$50.02	$85.16	$107.56
United Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $42.76 / $81.19	Professional		$23.28	$42.76	$81.19