Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,949.84 / $1,949.84	Facility		$851.14	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $691.83	Professional		$501.19	$575.44	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,630.78	Facility		$1,949.84	$2,290.87	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,949.84 / $2,238.72	Professional		$812.83	$1,949.84	$2,238.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,951.21 / $4,466.84	Facility		$776.25	$2,951.21	$4,466.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,677.35	Professional		$4,265.80	$4,265.80	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $2,511.89	Facility		$645.65	$851.14	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $3,548.13	Professional		$316.23	$426.58	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,089.30	Professional		$1,380.38	$1,380.38	$2,089.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,388.44 / $3,388.44	Facility		$1,412.54	$3,388.44	$3,388.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $3,548.13	Professional		$2,818.38	$3,548.13	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $1,174.90	Professional		$295.12	$426.58	$1,174.90