Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $870.96	Professional		$524.81	$660.69	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,698.24	Facility		$1,023.29	$1,023.29	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,148.15	Professional		$691.83	$954.99	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,011.87	Facility		$2,691.53	$3,162.28	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,737.80	Professional		$1,174.90	$1,445.44	$1,737.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $436.52 / $1,318.26	Facility		$81.28	$436.52	$1,318.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $891.25 / $5,011.87	Facility		$79.43	$891.25	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $758.58	Professional		$52.48	$91.20	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $64.57 / $630.96	Professional		$1.70	$64.57	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $316.23	Professional		$123.03	$223.87	$316.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,778.28 / $5,248.07	Facility		$64.57	$1,778.28	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $741.31	Professional		$81.28	$81.28	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $154.88 / $707.95	Facility		$53.70	$154.88	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $114.82 / $912.01	Professional		$53.70	$114.82	$912.01