Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.75 / $350.91 / $354.11	Professional		$238.75	$350.91	$354.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.46 / $538.75 / $1,466.14	Professional		$228.46	$538.75	$1,466.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.79 / $1,023.47 / $1,163.04	Professional		$198.79	$1,023.47	$1,163.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $557.13 / $1,546.03	Professional		$213.30	$557.13	$1,546.03
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 $416.90 / $529.05 / $973.44	Professional		$416.90	$529.05	$973.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.79 / $1,262.65 / $1,546.03	Professional		$198.79	$1,262.65	$1,546.03
United Facility/Professional Professional Modifier Low / Median / High Price $206.38 / $517.61 / $1,191.18	Professional		$206.38	$517.61	$1,191.18