Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $18.76 / $27.40	Professional		$13.70	$18.76	$27.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $26.65 / $89.74	Professional		$16.38	$26.65	$89.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $20.48 / $46.38	Professional		$12.80	$20.48	$46.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $32.02 / $173.12	Professional		$17.80	$32.02	$173.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $34.06 / $48.83	Professional		$21.80	$34.06	$48.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $81.50 / $173.12	Professional		$12.80	$81.50	$173.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $41.91 / $41.91	Professional		$23.88	$41.91	$41.91
United Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $29.48 / $61.13	Professional		$17.32	$29.48	$61.13