Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.15 / $108.29 / $289.22	Professional		$90.15	$108.29	$289.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $164.36 / $347.48	Professional		$93.46	$164.36	$347.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $206.66 / $290.43	Professional		$81.63	$206.66	$290.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $146.37 / $452.31	Professional		$82.89	$146.37	$452.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $89.95 / $197.34	Professional		$57.31	$89.95	$197.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $236.02 / $327.80	Professional		$178.80	$236.02	$327.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $432.50 / $650.41	Professional		$95.52	$432.50	$650.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $353.96 / $353.96	Professional		$163.96	$353.96	$353.96
United Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $143.51 / $358.76	Professional		$85.52	$143.51	$358.76