Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $156.03 / $524.19	Professional		$121.12	$156.03	$524.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $233.49 / $491.76	Professional		$119.29	$233.49	$491.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $274.64 / $395.00	Professional		$130.40	$274.64	$395.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $197.17 / $701.32	Professional		$119.02	$197.17	$701.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $123.82 / $277.95	Professional		$76.01	$123.82	$277.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $319.24 / $434.50	Professional		$237.00	$319.24	$434.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $588.24 / $1,624.00	Professional		$150.33	$588.24	$1,624.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $242.58 / $481.44 / $481.44	Professional		$242.58	$481.44	$481.44
United Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $197.17 / $451.12	Professional		$121.84	$197.17	$451.12