Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.00 / $222.00 / $222.00	Facility		$222.00	$222.00	$222.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $265.00 / $387.00	Facility		$162.00	$265.00	$387.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $345.00	Facility		$65.00	$75.00	$345.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.02 / $151.29 / $250.50	Facility		$94.02	$151.29	$250.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $190.00	Facility		$65.00	$75.00	$190.00
Security Health Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $154.63 / $176.84	Facility		$105.00	$154.63	$176.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,976.00 / $4,976.00 / $4,976.00	Facility		$4,976.00	$4,976.00	$4,976.00