Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $53.12 / $77.50	Professional		$45.09	$53.12	$77.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $70.20 / $174.91	Professional		$47.43	$70.20	$174.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $116.19 / $133.19	Professional		$50.89	$116.19	$133.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $92.84 / $348.77	Professional		$56.35	$92.84	$348.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $34.06 / $70.31	Professional		$19.71	$34.06	$70.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $110.20 / $146.30	Professional		$71.16	$110.20	$146.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $202.64 / $348.77	Professional		$59.44	$202.64	$348.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $97.65 / $97.65	Professional		$65.83	$97.65	$97.65
United Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $90.60 / $148.40	Professional		$56.01	$90.60	$148.40