Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.46 / $354.46 / $354.95	Professional		$233.46	$354.46	$354.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.00 / $523.41 / $1,481.97	Professional		$229.00	$523.41	$1,481.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $1,027.46 / $1,167.56	Professional		$194.32	$1,027.46	$1,167.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.41 / $561.36 / $1,561.80	Professional		$212.41	$561.36	$1,561.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $213.97 / $455.04	Professional		$129.06	$213.97	$455.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.54 / $517.17 / $977.22	Professional		$407.54	$517.17	$977.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $1,278.05 / $1,561.80	Professional		$194.32	$1,278.05	$1,561.80
United Facility/Professional Professional Modifier Low / Median / High Price $212.41 / $585.35 / $1,179.00	Professional		$212.41	$585.35	$1,179.00