Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $44.98 / $44.98	Professional		$44.98	$44.98	$44.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $99.00	Professional		$84.00	$84.00	$99.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $62.34 / $201.14	Professional		$20.00	$62.34	$201.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $142.47 / $144.47	Facility		$142.47	$142.47	$144.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $27.40 / $234.00	Professional		$22.21	$27.40	$234.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $85.00	Professional		$55.00	$55.00	$85.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.98 / $55.98 / $55.98	Facility		$55.98	$55.98	$55.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $27.50 / $105.83	Professional		$22.86	$27.50	$105.83