Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $288.40	Professional		$32.36	$79.43	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $128.82	Professional		$36.31	$54.95	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $95.50	Professional		$52.48	$83.18	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.10 / $165.96	Professional		$43.65	$87.10	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $117.49	Professional		$60.26	$95.50	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $186.21	Professional		$34.67	$34.67	$186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $123.03 / $123.03	Professional		$52.48	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $83.18 / $169.82	Professional		$40.74	$83.18	$169.82