Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $23.06 / $30.28	Professional		$18.70	$23.06	$30.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $25.33 / $81.09	Professional		$21.47	$25.33	$81.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $44.53 / $86.21	Professional		$32.63	$44.53	$86.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $99.38 / $169.93	Professional		$34.17	$99.38	$169.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $34.41 / $70.00	Professional		$21.51	$34.41	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $56.91 / $92.34	Professional		$33.31	$56.91	$92.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $134.30 / $169.93	Professional		$96.53	$134.30	$169.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $78.66 / $92.74	Professional		$24.72	$78.66	$92.74
United Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $54.93 / $100.73	Professional		$30.05	$54.93	$100.73