Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $954.99 / $954.99	Facility		$416.87	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $346.74	Professional		$245.47	$281.84	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $954.99	Facility		$758.58	$933.25	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,778.28	Facility		$954.99	$1,122.02	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $954.99 / $1,096.48	Professional		$398.11	$954.99	$1,096.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,412.54 / $2,041.74	Facility		$380.19	$1,412.54	$2,041.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,344.23	Professional		$2,089.30	$2,089.30	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $1,230.27	Facility		$316.23	$446.68	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $1,737.80	Professional		$158.49	$208.93	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,000.00	Professional		$660.69	$660.69	$1,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,659.59 / $1,659.59	Facility		$691.83	$1,659.59	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $575.44	Professional		$147.91	$208.93	$575.44