Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $70.23 / $85.98	Professional		$63.01	$70.23	$85.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $104.09 / $252.85	Professional		$75.28	$104.09	$252.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $120.18 / $145.56	Professional		$69.93	$120.18	$145.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $147.51 / $510.91	Professional		$93.43	$147.51	$510.91
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 $84.53 / $152.75 / $235.87	Professional		$84.53	$152.75	$235.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $410.00 / $510.91	Professional		$69.93	$410.00	$510.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $183.25 / $211.08	Professional		$183.25	$183.25	$211.08
United Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $139.10 / $221.61	Professional		$93.43	$139.10	$221.61