Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $47.86 / $331.13	Professional		$19.95	$47.86	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.88 / $69.18	Professional		$21.38	$33.88	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $60.26	Professional		$33.88	$52.48	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $77.62	Professional		$25.12	$36.31	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $64.57	Professional		$28.84	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $70.79	Professional		$38.02	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $69.18	Professional		$22.39	$22.39	$69.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $77.62 / $77.62	Professional		$31.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $81.28	Professional		$25.12	$39.81	$81.28