Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $131.83	Professional		$93.33	$107.15	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $354.81	Professional		$117.49	$194.98	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $234.42	Professional		$109.65	$186.21	$234.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $363.08	Professional		$128.82	$229.09	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $794.33	Professional		$144.54	$223.87	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $407.38	Professional		$141.25	$208.93	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $630.96 / $794.33	Professional		$109.65	$630.96	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $309.03	Professional		$134.90	$134.90	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $346.74	Professional		$138.04	$204.17	$346.74