Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $58.76 / $58.76	Professional		$58.76	$58.76	$58.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.83 / $716.85 / $743.53	Facility		$616.83	$716.85	$743.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $13.63 / $13.63	Professional		$7.68	$13.63	$13.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.18 / $336.93 / $477.55	Facility		$184.18	$336.93	$477.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.42 / $333.42 / $333.42	Facility		$333.42	$333.42	$333.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $934.25	Professional		$50.00	$65.00	$934.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20