Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $54.60 / $120.15	Professional		$42.74	$54.60	$120.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $55.95 / $187.64	Professional		$46.78	$55.95	$187.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $76.09 / $204.43	Professional		$52.33	$76.09	$204.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $215.81	Professional		$47.86	$61.66	$215.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $63.30 / $134.51	Professional		$39.92	$63.30	$134.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $165.83 / $232.59	Professional		$90.95	$165.83	$232.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $308.30 / $439.67	Professional		$74.41	$308.30	$439.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $196.53 / $196.53	Professional		$74.30	$196.53	$196.53
United Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $62.89 / $146.36	Professional		$50.48	$62.89	$146.36