Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,041.74 / $2,041.74	Facility		$891.25	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $891.25	Professional		$524.81	$602.56	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,801.89	Facility		$2,041.74	$2,398.83	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,041.74 / $2,290.87	Professional		$851.14	$2,041.74	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,090.30 / $4,677.35	Facility		$812.83	$3,090.30	$4,677.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,897.79	Professional		$4,466.84	$4,466.84	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $2,570.40	Facility		$660.69	$891.25	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $3,715.35	Professional		$331.13	$446.68	$3,715.35
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 $1,445.44 / $1,445.44 / $2,187.76	Professional		$1,445.44	$1,445.44	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,548.13 / $3,548.13	Facility		$1,479.11	$3,548.13	$3,548.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $3,715.35	Professional		$2,951.21	$3,715.35	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $1,230.27	Professional		$309.03	$446.68	$1,230.27