Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $222.00	Facility		$48.00	$48.00	$222.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $61.31 / $168.92	Professional		$38.00	$61.31	$168.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $56.80 / $75.20	Professional		$37.00	$56.80	$75.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $58.15	Facility		$32.44	$37.90	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $62.40 / $103.51	Professional		$24.47	$62.40	$103.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $233.07 / $233.07	Facility		$233.07	$233.07	$233.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $1,881.90 / $1,881.90	Professional		$69.30	$1,881.90	$1,881.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $210.00 / $1,881.90	Professional		$62.40	$210.00	$1,881.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $73.80 / $153.58	Professional		$69.70	$73.80	$153.58