Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $77.05 / $92.65	Professional		$55.86	$77.05	$92.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $111.42 / $214.26	Professional		$75.28	$111.42	$214.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $143.32 / $229.84	Professional		$69.93	$143.32	$229.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $146.66 / $510.91	Professional		$93.13	$146.66	$510.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $84.18 / $200.86	Professional		$59.53	$84.18	$200.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $152.75 / $235.87	Professional		$84.53	$152.75	$235.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $411.75 / $510.91	Professional		$69.93	$411.75	$510.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $162.88 / $162.88	Professional		$118.80	$162.88	$162.88
United Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $128.15 / $222.56	Professional		$90.59	$128.15	$222.56