Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $27.33 / $83.85	Professional		$20.44	$27.33	$83.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $28.52 / $88.88	Professional		$23.80	$28.52	$88.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $66.43 / $108.10	Professional		$30.15	$66.43	$108.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $34.54 / $217.73	Professional		$28.48	$34.54	$217.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $33.09 / $70.31	Professional		$19.71	$33.09	$70.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $80.91 / $114.67	Professional		$30.75	$80.91	$114.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $172.70 / $217.73	Professional		$37.01	$172.70	$217.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $97.73 / $97.73	Professional		$41.66	$97.73	$97.73
United Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $34.54 / $78.59	Professional		$29.36	$34.54	$78.59