Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $968.75 / $1,757.50	Professional		$600.00	$968.75	$1,757.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.74 / $1,243.36 / $5,218.72	Professional		$686.74	$1,243.36	$5,218.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $719.68 / $788.22 / $1,628.78	Professional		$719.68	$788.22	$1,628.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.21 / $2,342.26 / $2,661.66	Professional		$1,244.21	$2,342.26	$2,661.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.78 / $1,252.34 / $5,712.10	Professional		$548.78	$1,252.34	$5,712.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $431.03 / $725.37 / $1,637.32	Professional		$431.03	$725.37	$1,637.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,372.42 / $1,823.18 / $2,532.19	Professional		$1,372.42	$1,823.18	$2,532.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,257.20 / $3,492.23 / $5,712.10	Professional		$1,257.20	$3,492.23	$5,712.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,896.73 / $5,549.54 / $5,549.54	Professional		$2,896.73	$5,549.54	$5,549.54
United Facility/Professional Professional Modifier Low / Median / High Price $640.26 / $1,219.23 / $2,968.49	Professional		$640.26	$1,219.23	$2,968.49