Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $191.78 / $192.44	Professional		$130.82	$191.78	$192.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.73 / $274.42 / $804.15	Professional		$123.73	$274.42	$804.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $560.92 / $637.42	Professional		$108.92	$560.92	$637.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.90 / $279.60 / $847.87	Professional		$141.90	$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 $228.42 / $289.87 / $533.51	Professional		$228.42	$289.87	$533.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $680.40 / $847.87	Professional		$108.92	$680.40	$847.87
United Facility/Professional Professional Modifier Low / Median / High Price $131.87 / $262.11 / $641.89	Professional		$131.87	$262.11	$641.89