Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $158.49	Professional		$89.13	$102.33	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $426.58	Professional		$109.65	$199.53	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $371.54	Professional		$89.13	$151.36	$371.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $281.84	Professional		$162.18	$218.78	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $724.44	Professional		$117.49	$245.47	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $446.68	Professional		$162.18	$251.19	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $489.78 / $1,047.13	Professional		$89.13	$489.78	$1,047.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $354.81	Professional		$186.21	$263.03	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $467.74	Professional		$123.03	$234.42	$467.74