Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $1,819.70	Facility		$426.58	$426.58	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $524.81	Professional		$371.54	$457.09	$524.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,023.29	Facility		$575.44	$575.44	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,412.54 / $1,659.59	Facility		$575.44	$1,412.54	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $177.83	Professional		$50.12	$58.88	$177.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,412.54 / $1,412.54	Facility		$426.58	$1,412.54	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $436.52	Professional		$363.08	$426.58	$436.52