Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $110.23 / $132.85	Professional		$96.88	$110.23	$132.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $161.77 / $388.80	Professional		$118.11	$161.77	$388.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $188.56 / $227.19	Professional		$109.51	$188.56	$227.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $226.27 / $787.82	Professional		$143.04	$226.27	$787.82
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 $132.37 / $239.20 / $369.36	Professional		$132.37	$239.20	$369.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $628.35 / $787.82	Professional		$109.51	$628.35	$787.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $284.80 / $284.80 / $331.16	Professional		$284.80	$284.80	$331.16
United Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $213.80 / $339.64	Professional		$143.04	$213.80	$339.64