Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $33.01 / $112.05	Professional		$20.95	$33.01	$112.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $29.88 / $64.94	Professional		$20.19	$29.88	$64.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $50.07 / $56.90	Professional		$38.75	$50.07	$56.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $36.72 / $75.37	Professional		$24.35	$36.72	$75.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $56.00 / $85.00	Professional		$17.68	$56.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $44.96 / $62.70	Professional		$35.57	$44.96	$62.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $22.60 / $59.91	Professional		$22.60	$22.60	$59.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $74.54 / $74.54	Professional		$29.73	$74.54	$74.54
United Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $36.97 / $76.09	Professional		$21.66	$36.97	$76.09