Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $15.61 / $18.48	Professional		$12.74	$15.61	$18.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $18.44 / $42.19	Professional		$14.71	$18.44	$42.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $24.26 / $30.59	Professional		$18.00	$24.26	$30.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $36.64 / $103.02	Professional		$18.75	$36.64	$103.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $60.00 / $85.00	Professional		$23.00	$60.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $26.33 / $48.37	Professional		$17.98	$26.33	$48.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $81.84 / $103.02	Professional		$71.01	$81.84	$103.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $58.11 / $58.11	Professional		$19.64	$58.11	$58.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.28 / $44.24	Professional		$18.62	$33.28	$44.24