Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $190.82 / $262.64	Professional		$153.13	$190.82	$262.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $305.88 / $689.47	Professional		$236.00	$305.88	$689.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.18 / $382.45 / $575.28	Professional		$157.18	$382.45	$575.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $334.95 / $2,295.00	Professional		$167.65	$334.95	$2,295.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.96 / $185.73 / $277.95	Professional		$74.96	$185.73	$277.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $267.60 / $367.34 / $612.62	Professional		$267.60	$367.34	$612.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.12 / $812.80 / $2,295.00	Professional		$200.12	$812.80	$2,295.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $237.71 / $543.07 / $543.07	Professional		$237.71	$543.07	$543.07
United Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $275.51 / $568.96	Professional		$162.56	$275.51	$568.96