Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $524.81	Professional		$288.40	$446.68	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,230.27 / $1,230.27	Facility		$676.08	$1,230.27	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $851.14	Professional		$363.08	$676.08	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $2,818.38	Facility		$407.38	$407.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $794.33 / $1,318.26	Professional		$407.38	$794.33	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $181.97 / $630.96	Facility		$56.23	$181.97	$630.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $446.68 / $2,951.21	Facility		$39.81	$446.68	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $501.19	Professional		$213.80	$309.03	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $51.29 / $64.57	Professional		$24.55	$51.29	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $169.82	Professional		$77.62	$128.82	$169.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,047.13 / $3,090.30	Facility		$371.54	$1,047.13	$3,090.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $407.38 / $407.38	Professional		$46.77	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $223.87 / $446.68	Facility		$26.92	$223.87	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $537.03	Professional		$208.93	$281.84	$537.03