Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.60 / $264.30 / $281.18	Professional		$182.60	$264.30	$281.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $378.00 / $1,104.95	Professional		$170.51	$378.00	$1,104.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $776.06 / $881.89	Professional		$152.07	$776.06	$881.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.19 / $384.60 / $1,164.67	Professional		$184.19	$384.60	$1,164.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $154.77 / $325.03	Professional		$92.18	$154.77	$325.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $318.92 / $404.71 / $738.12	Professional		$318.92	$404.71	$738.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $932.15 / $1,164.67	Professional		$152.07	$932.15	$1,164.67
United Facility/Professional Professional Modifier Low / Median / High Price $184.19 / $372.86 / $855.49	Professional		$184.19	$372.86	$855.49