Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $140.49 / $426.96	Professional		$68.30	$140.49	$426.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $102.99 / $213.52	Professional		$68.42	$102.99	$213.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $157.85 / $179.38	Professional		$122.36	$157.85	$179.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.48 / $119.74 / $261.58	Professional		$86.48	$119.74	$261.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $63.07 / $128.38	Professional		$38.69	$63.07	$128.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $141.77 / $201.81	Professional		$111.71	$141.77	$201.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $71.23 / $240.14	Professional		$71.23	$71.23	$240.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $98.94 / $235.01 / $235.01	Professional		$98.94	$235.01	$235.01
United Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $123.06 / $260.55	Professional		$79.48	$123.06	$260.55