Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $120.23	Professional		$69.18	$91.20	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $776.25	Professional		$173.78	$323.59	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $2,570.40	Professional		$147.91	$181.97	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $416.87	Professional		$141.25	$288.40	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,691.53	Facility		$2,570.40	$2,570.40	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $338.84	Professional		$147.91	$190.55	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $2,511.89	Professional		$125.89	$169.82	$2,511.89