Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $512.86	Professional		$380.19	$416.87	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $1,548.82	Facility		$128.82	$128.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $501.19	Professional		$128.82	$398.11	$501.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $416.87 / $758.58	Facility		$263.03	$416.87	$758.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $741.31 / $3,311.31	Facility		$263.03	$741.31	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $707.95	Professional		$346.74	$467.74	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $89.13	Professional		$50.12	$54.95	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $194.98	Professional		$100.00	$147.91	$194.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,174.90 / $4,073.80	Facility		$128.82	$1,174.90	$4,073.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $131.83	Professional		$109.65	$128.82	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $331.13 / $630.96	Facility		$39.81	$331.13	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $724.44	Professional		$281.84	$398.11	$724.44