Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $281.84	Professional		$173.78	$234.42	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $1,258.93	Professional		$186.21	$323.59	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $630.96	Professional		$302.00	$302.00	$630.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $275.42 / $630.96	Facility		$173.78	$275.42	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $281.84 / $3,311.31	Facility		$186.21	$281.84	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $1,548.82	Professional		$269.15	$467.74	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,000.00	Professional		$467.74	$707.95	$1,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,073.80 / $4,073.80	Facility		$2,754.23	$4,073.80	$4,073.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,258.93 / $1,513.56	Professional		$630.96	$1,258.93	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,570.88	Facility		$3,467.37	$3,467.37	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $1,023.29	Professional		$251.19	$436.52	$1,023.29