Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,905.46 / $1,905.46	Facility		$831.76	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $676.08	Professional		$489.78	$562.34	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,630.78	Facility		$1,949.84	$2,238.72	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,905.46 / $2,187.76	Professional		$812.83	$1,905.46	$2,187.76
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 $4,168.69 / $4,168.69 / $4,677.35	Professional		$4,168.69	$4,168.69	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $831.76 / $2,454.71	Facility		$630.96	$831.76	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $3,467.37	Professional		$316.23	$416.87	$3,467.37
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 / $2,041.74	Professional		$1,380.38	$1,380.38	$2,041.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,311.31 / $3,311.31	Facility		$1,412.54	$3,311.31	$3,311.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $3,467.37	Professional		$2,818.38	$3,467.37	$3,467.37
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 / $416.87 / $1,148.15	Professional		$295.12	$416.87	$1,148.15