Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $812.83	Professional		$275.42	$346.74	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $1,445.44	Professional		$316.23	$588.84	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,000.00 / $1,621.81	Professional		$371.54	$1,000.00	$1,621.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $954.99	Professional		$562.34	$758.58	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $630.96 / $2,570.40	Professional		$323.59	$630.96	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,288.25	Professional		$575.44	$912.01	$1,288.25
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $549.54 / $549.54 / $1,318.26	Facility	54	$549.54	$549.54	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,584.89 / $2,511.89	Professional		$549.54	$1,584.89	$2,511.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,949.84 / $2,187.76	Professional		$346.74	$1,949.84	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $1,258.93	Professional		$295.12	$457.09	$1,258.93