Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $444.00	Facility		$48.00	$48.00	$444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.00 / $302.44	Professional		$35.00	$48.00	$302.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $344.00 / $491.28	Professional		$260.00	$344.00	$491.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $202.80 / $345.00	Professional		$153.00	$202.80	$345.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $73.00 / $901.12	Professional		$30.75	$73.00	$901.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $319.27	Professional		$55.00	$70.00	$319.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.52 / $276.92 / $500.00	Professional		$245.52	$276.92	$500.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $420.00 / $901.12	Professional		$186.00	$420.00	$901.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $328.00 / $328.00	Professional		$328.00	$328.00	$328.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $278.80 / $557.44 / $557.44	Professional		$278.80	$557.44	$557.44
United Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $69.00 / $107.64	Professional		$31.00	$69.00	$107.64