Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $81.76 / $113.43	Professional		$57.77	$81.76	$113.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $146.74 / $321.89	Professional		$85.94	$146.74	$321.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $157.21 / $257.45	Professional		$89.28	$157.21	$257.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $176.38 / $419.76	Professional		$95.88	$176.38	$419.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $92.31 / $207.38	Professional		$58.42	$92.31	$207.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $220.69 / $324.54	Professional		$138.99	$220.69	$324.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $337.55 / $610.72	Professional		$89.28	$337.55	$610.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $238.56 / $301.85	Professional		$173.37	$238.56	$301.85
United Facility/Professional Professional Modifier Low / Median / High Price $91.89 / $151.88 / $375.84	Professional		$91.89	$151.88	$375.84