Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $315.00 / $315.00	Professional		$144.00	$315.00	$315.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99,999.99 / $99,999.99 / $99,999.99	Professional		$99,999.99	$99,999.99	$99,999.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $16.77 / $438.32	Professional		$16.77	$16.77	$438.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,272.33	Facility		$100.00	$100.00	$1,272.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $1,272.33	Facility		$65.00	$100.00	$1,272.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $16.77 / $16.77	Professional		$16.77	$16.77	$16.77