Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $2,818.38	Facility		$758.58	$758.58	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $6.17 / $6.17	Professional		$3.39	$6.17	$6.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,754.23	Facility		$758.58	$1,023.29	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $2,041.74	Facility		$758.58	$758.58	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,754.23	Facility		$2,089.30	$2,089.30	$2,754.23