Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $777.00	Facility		$48.00	$48.00	$777.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.00 / $529.27	Professional		$35.00	$48.00	$529.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $602.00 / $859.74	Professional		$455.00	$602.00	$859.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $405.60 / $690.00	Professional		$306.00	$405.60	$690.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $73.00 / $1,576.96	Professional		$30.75	$73.00	$1,576.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $570.00	Professional		$55.00	$70.00	$570.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $429.66 / $484.61 / $875.00	Professional		$429.66	$484.61	$875.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $735.00 / $1,576.96	Professional		$372.00	$735.00	$1,576.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $487.90 / $975.52 / $975.52	Professional		$487.90	$975.52	$975.52
United Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $70.00 / $104.00	Professional		$31.00	$70.00	$104.00