Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.24 / $314.24 / $314.24	Facility		$314.24	$314.24	$314.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.97 / $683.12 / $7,768.00	Professional		$284.97	$683.12	$7,768.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.00 / $701.00 / $1,475.00	Facility		$532.00	$701.00	$1,475.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $750.00 / $1,214.19	Professional		$147.00	$750.00	$1,214.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.56 / $927.90 / $2,349.08	Facility		$239.56	$927.90	$2,349.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,488.00 / $1,488.00 / $1,488.00	Professional		$1,488.00	$1,488.00	$1,488.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $944.48	Professional		$50.00	$65.00	$944.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,313.00 / $1,313.00	Facility		$480.00	$1,313.00	$1,313.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,488.00 / $1,488.00 / $1,488.00	Professional		$1,488.00	$1,488.00	$1,488.00
Security Health Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $141.44 / $141.44	Facility		$141.44	$141.44	$141.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,216.40 / $3,216.40 / $3,216.40	Facility		$3,216.40	$3,216.40	$3,216.40