Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.80 / $232.80 / $232.80	Facility		$232.80	$232.80	$232.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $228.00	Professional		$228.00	$228.00	$228.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $520.20 / $1,449.00 / $2,090.40	Facility		$520.20	$1,449.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,415.11 / $1,415.11 / $1,415.11	Professional		$1,415.11	$1,415.11	$1,415.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $209.00 / $209.00	Facility		$209.00	$209.00	$209.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,415.11 / $1,415.11 / $1,415.11	Professional		$1,415.11	$1,415.11	$1,415.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90