Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $139.41 / $205.54	Professional		$106.58	$139.41	$205.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $212.60 / $466.17	Professional		$147.69	$212.60	$466.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $279.33 / $434.20	Professional		$120.97	$279.33	$434.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $216.66 / $779.72	Professional		$116.51	$216.66	$779.72
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 $201.00 / $275.30 / $394.78	Professional		$201.00	$275.30	$394.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $582.54 / $779.72	Professional		$138.74	$582.54	$779.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $152.83 / $440.64 / $440.64	Professional		$152.83	$440.64	$440.64
United Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $188.00 / $407.79	Professional		$113.63	$188.00	$407.79