Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.00 / $1,685.00 / $2,295.00	Facility		$693.00	$1,685.00	$2,295.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $939.00 / $1,700.00	Facility		$890.00	$939.00	$1,700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.00 / $300.00 / $350.00	Facility		$295.00	$300.00	$350.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $835.00 / $10,000.00	Facility		$478.00	$835.00	$10,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $325.00 / $10,000.00	Facility		$300.00	$325.00	$10,000.00
Security Health Facility/Professional Facility Modifier Low / Median / High Price $1,750.00 / $1,750.00 / $1,750.00	Facility		$1,750.00	$1,750.00	$1,750.00
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $764.00 / $1,385.00	Facility		$448.00	$764.00	$1,385.00