Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $53.12 / $83.41	Professional		$42.65	$53.12	$83.41
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 $56.00 / $90.61 / $348.77	Professional		$56.00	$90.61	$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 $62.17 / $87.77 / $97.65	Professional		$62.17	$87.77	$97.65
United Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $84.44 / $145.35	Professional		$54.28	$84.44	$145.35