Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $666.00	Facility		$48.00	$48.00	$666.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.00 / $453.66	Professional		$35.00	$48.00	$453.66
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,260.00 / $1,260.00 / $1,465.38	Professional	AA	$1,260.00	$1,260.00	$1,465.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $890.40 / $890.40 / $1,268.41	Professional	QZ	$890.40	$890.40	$1,268.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.18 / $218.54 / $740.40	Professional		$212.18	$218.54	$740.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $338.00 / $575.00	Professional		$255.00	$338.00	$575.00
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $698.15 / $698.15 / $793.35	Professional	AA	$698.15	$698.15	$793.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $73.00 / $1,351.68	Professional		$30.75	$73.00	$1,351.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $480.00	Professional		$55.00	$70.00	$480.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $368.28 / $415.38 / $750.00	Professional		$368.28	$415.38	$750.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $630.00 / $1,351.68	Professional		$310.00	$630.00	$1,351.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $418.20 / $836.16 / $836.16	Professional		$418.20	$836.16	$836.16
United Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $69.00 / $104.00	Professional		$35.00	$69.00	$104.00