Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $199.53	Facility		$128.82	$128.82	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $588.84 / $1,122.02	Professional		$128.82	$588.84	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $954.99 / $4,073.80	Professional		$316.23	$954.99	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $3,467.37	Professional		$128.82	$128.82	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $1,047.13	Facility		$128.82	$194.98	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $1,000.00	Facility		$128.82	$194.98	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $3,630.78	Professional		$1,000.00	$1,659.59	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $1,905.46	Professional		$218.78	$416.87	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,630.78 / $3,630.78	Facility		$389.05	$3,630.78	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $3,630.78 / $3,630.78	Professional		$446.68	$3,630.78	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,412.54 / $3,311.31	Professional		$295.12	$1,412.54	$3,311.31