Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.34 / $154.34 / $523.00	Professional		$154.34	$154.34	$523.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $50.40 / $67.20	Professional		$23.09	$50.40	$67.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.75 / $513.88 / $788.30	Facility		$439.75	$513.88	$788.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $188.49 / $228.75	Professional		$81.59	$188.49	$228.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.62 / $578.78 / $578.78	Facility		$146.62	$578.78	$578.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.43 / $323.43 / $323.43	Professional		$323.43	$323.43	$323.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.19 / $131.19 / $578.78	Facility		$131.19	$131.19	$578.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $81.59	Professional		$81.59	$81.59	$81.59