Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $100.22 / $291.00	Professional		$35.06	$100.22	$291.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $59.79 / $116.12	Professional		$36.36	$59.79	$116.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $82.27 / $93.49	Professional		$51.63	$82.27	$93.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $87.28 / $167.61	Professional		$47.47	$87.28	$167.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $31.53 / $69.48	Professional		$19.34	$31.53	$69.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $88.54 / $118.22	Professional		$58.04	$88.54	$118.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $37.11 / $185.77	Professional		$37.11	$37.11	$185.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.69 / $122.47 / $122.47	Professional		$50.69	$122.47	$122.47
United Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $77.01 / $147.22	Professional		$41.01	$77.01	$147.22