Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $776.25	Professional		$407.38	$645.65	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,258.93	Facility		$758.58	$758.58	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $851.14	Professional		$575.44	$707.95	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,290.87 / $3,715.35	Facility		$575.44	$2,290.87	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $1,288.25	Professional		$575.44	$933.25	$1,288.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $537.03 / $1,174.90	Facility		$74.13	$537.03	$1,174.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $1,023.29 / $3,715.35	Facility		$74.13	$1,023.29	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $707.95	Professional		$46.77	$79.43	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $58.88 / $575.44	Professional		$1.41	$58.88	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $229.09	Professional		$91.20	$165.96	$229.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,949.84 / $3,890.45	Facility		$575.44	$1,949.84	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $575.44 / $588.84	Professional		$60.26	$575.44	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $89.13 / $707.95	Facility		$52.48	$89.13	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $125.89 / $831.76	Professional		$47.86	$125.89	$831.76