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 $196.00 / $267.00 / $387.00	Facility		$196.00	$267.00	$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 $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $345.00	Facility		$65.00	$75.00	$345.00
Security Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.63 / $176.84	Facility		$100.00	$154.63	$176.84