Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.57 / $63.81 / $346.81	Professional		$60.57	$63.81	$346.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $91.94 / $208.97	Professional		$62.83	$91.94	$208.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $152.77 / $173.60	Professional		$118.97	$152.77	$173.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $119.20 / $236.71	Professional		$82.63	$119.20	$236.71
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 $107.35 / $137.58 / $189.20	Professional		$107.35	$137.58	$189.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $322.48	Professional		$68.94	$68.94	$322.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $227.44 / $227.44	Professional		$92.40	$227.44	$227.44
United Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $126.91 / $229.91	Professional		$73.56	$126.91	$229.91