Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $121.22 / $145.41	Professional		$85.98	$121.22	$145.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $164.31 / $334.37	Professional		$118.11	$164.31	$334.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $225.40 / $358.73	Professional		$109.51	$225.40	$358.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $225.67 / $787.82	Professional		$143.33	$225.67	$787.82
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 $132.37 / $239.20 / $369.36	Professional		$132.37	$239.20	$369.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $631.25 / $787.82	Professional		$109.51	$631.25	$787.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $182.78 / $254.26 / $264.33	Professional		$182.78	$254.26	$264.33
United Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $198.78 / $341.00	Professional		$143.33	$198.78	$341.00