Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.40 / $787.94 / $2,927.13	Professional		$622.40	$787.94	$2,927.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.40 / $1,468.33 / $4,048.04	Professional		$746.40	$1,468.33	$4,048.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.62 / $2,287.23 / $3,581.91	Professional		$903.62	$2,287.23	$3,581.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $778.62 / $1,706.11 / $5,774.16	Professional		$778.62	$1,706.11	$5,774.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $437.54 / $1,444.00	Professional		$84.56	$437.54	$1,444.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,386.60 / $1,830.31 / $2,624.37	Professional		$1,386.60	$1,830.31	$2,624.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,330.20 / $3,318.12 / $5,774.16	Professional		$1,330.20	$3,318.12	$5,774.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,430.28 / $4,056.23 / $5,016.31	Professional		$2,430.28	$4,056.23	$5,016.31
United Facility/Professional Professional Modifier Low / Median / High Price $778.62 / $1,551.86 / $3,530.69	Professional		$778.62	$1,551.86	$3,530.69