Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.85 / $185.28 / $231.77	Professional		$151.85	$185.28	$231.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $284.20 / $593.67	Professional		$164.59	$284.20	$593.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $407.24 / $490.91	Professional		$168.16	$407.24	$490.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $258.24 / $646.16	Professional		$157.72	$258.24	$646.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $156.16 / $336.33	Professional		$95.17	$156.16	$336.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $396.00 / $550.00	Professional		$300.00	$396.00	$550.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $201.45 / $731.07 / $1,103.57	Professional		$201.45	$731.07	$1,103.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $598.33 / $598.33 / $598.33	Professional		$598.33	$598.33	$598.33
United Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $254.15 / $609.83	Professional		$151.47	$254.15	$609.83