Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $1,776.00	Facility		$48.00	$48.00	$1,776.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.00 / $1,209.76	Professional		$35.00	$48.00	$1,209.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,376.00 / $1,965.12	Professional		$1,040.00	$1,376.00	$1,965.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $1,014.00 / $1,725.00	Professional		$765.00	$1,014.00	$1,725.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $73.00 / $3,604.48	Professional		$30.75	$73.00	$3,604.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $1,425.00	Professional		$55.00	$70.00	$1,425.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $982.08 / $1,107.68 / $2,000.00	Professional		$982.08	$1,107.68	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $1,680.00 / $3,604.48	Professional		$930.00	$1,680.00	$3,604.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.00 / $1,312.00 / $1,312.00	Professional		$1,312.00	$1,312.00	$1,312.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,115.20 / $2,229.76 / $2,229.76	Professional		$1,115.20	$2,229.76	$2,229.76
United Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $68.00 / $104.00	Professional		$30.75	$68.00	$104.00