Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.53 / $192.44 / $192.77	Professional		$131.53	$192.44	$192.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $275.75 / $804.15	Professional		$124.37	$275.75	$804.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $565.38 / $642.48	Professional		$109.51	$565.38	$642.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $279.60 / $847.87	Professional		$140.99	$279.60	$847.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.96 / $122.26 / $260.02	Professional		$74.96	$122.26	$260.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.67 / $291.45 / $537.74	Professional		$229.67	$291.45	$537.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $680.40 / $847.87	Professional		$109.51	$680.40	$847.87
United Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $288.77 / $641.89	Professional		$143.11	$288.77	$641.89