Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $338.84	Professional		$128.82	$154.88	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $512.86	Professional		$158.49	$229.09	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $416.87	Professional		$239.88	$363.08	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $588.84	Professional		$190.55	$295.12	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $478.63	Professional		$263.03	$338.84	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $676.08	Professional		$154.88	$154.88	$676.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $537.03 / $537.03	Professional		$223.87	$537.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $602.56	Professional		$177.83	$281.84	$602.56