Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $2,886.00	Facility		$48.00	$48.00	$2,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.00 / $1,965.86	Professional		$35.00	$48.00	$1,965.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,690.00 / $2,236.00 / $3,193.32	Professional		$1,690.00	$2,236.00	$3,193.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,690.00 / $2,875.00	Professional		$1,275.00	$1,690.00	$2,875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $73.00 / $5,857.28	Professional		$30.75	$73.00	$5,857.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $2,375.00	Professional		$55.00	$70.00	$2,375.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,595.88 / $1,799.98 / $3,250.00	Professional		$1,595.88	$1,799.98	$3,250.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,550.00 / $2,730.00 / $5,857.28	Professional		$1,550.00	$2,730.00	$5,857.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,132.00 / $2,132.00 / $2,132.00	Professional		$2,132.00	$2,132.00	$2,132.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,812.20 / $3,623.36 / $3,623.36	Professional		$1,812.20	$3,623.36	$3,623.36
United Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $68.00 / $101.00	Professional		$30.60	$68.00	$101.00