Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $222.69 / $252.32 / $957.20	Facility	54	$222.69	$252.32	$957.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.29 / $336.43 / $1,341.36	Professional		$270.29	$336.43	$1,341.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.02 / $685.21 / $1,720.57	Professional		$314.02	$685.21	$1,720.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.49 / $1,082.60 / $1,512.72	Professional		$383.49	$1,082.60	$1,512.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.32 / $724.27 / $2,554.08	Professional		$340.32	$724.27	$2,554.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $147.84 / $691.33	Professional		$31.53	$147.84	$691.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $669.82 / $834.77 / $1,196.92	Professional		$669.82	$834.77	$1,196.92
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $989.74 / $989.74 / $989.74	Facility	54	$989.74	$989.74	$989.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $613.91 / $1,459.04 / $2,554.08	Professional		$613.91	$1,459.04	$2,554.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $926.26 / $1,947.89 / $2,205.79	Professional		$926.26	$1,947.89	$2,205.79
United Facility/Professional Professional Modifier Low / Median / High Price $340.93 / $654.97 / $1,409.04	Professional		$340.93	$654.97	$1,409.04