Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $139.87 / $288.95	Professional		$39.88	$139.87	$288.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $61.48 / $129.41	Professional		$37.40	$61.48	$129.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $92.75 / $105.40	Professional		$72.06	$92.75	$105.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $88.78 / $166.39	Professional		$51.08	$88.78	$166.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $33.09 / $69.48	Professional		$19.34	$33.09	$69.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $99.96 / $119.24	Professional		$65.53	$99.96	$119.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $41.86 / $182.56	Professional		$41.86	$41.86	$182.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $138.09 / $138.09	Professional		$58.54	$138.09	$138.09
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $79.78 / $159.82	Professional		$40.06	$79.78	$159.82