Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $128.84 / $161.62	Professional		$104.89	$128.84	$161.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $193.02 / $386.53	Professional		$93.85	$193.02	$386.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $283.17 / $341.19	Professional		$96.27	$283.17	$341.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $148.54 / $395.51	Professional		$83.21	$148.54	$395.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $125.21 / $268.54	Professional		$77.22	$125.21	$268.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $205.94 / $278.45 / $388.30	Professional		$205.94	$278.45	$388.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $508.10 / $767.91	Professional		$140.01	$508.10	$767.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $415.85 / $415.85 / $415.85	Professional		$415.85	$415.85	$415.85
United Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $152.01 / $336.71	Professional		$86.64	$152.01	$336.71