Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $122.71 / $171.20	Professional		$94.34	$122.71	$171.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.60 / $185.46 / $421.52	Professional		$149.60	$185.46	$421.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $243.89 / $376.38	Professional		$103.06	$243.89	$376.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $201.14 / $3,176.85	Professional		$103.63	$201.14	$3,176.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $139.30 / $208.47	Professional		$59.13	$139.30	$208.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $241.38 / $350.29	Professional		$175.20	$241.38	$350.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.20 / $493.15 / $3,176.85	Professional		$127.20	$493.15	$3,176.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $355.31 / $355.31	Professional		$139.79	$355.31	$355.31
United Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $165.34 / $345.21	Professional		$98.63	$165.34	$345.21