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 $524.81 / $645.65 / $891.25	Professional		$524.81	$645.65	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,778.28 / $1,778.28	Facility		$977.24	$1,778.28	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,230.27	Professional		$616.60	$977.24	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $4,786.30	Facility		$426.58	$426.58	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,202.26 / $1,905.46	Professional		$426.58	$1,202.26	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $309.03 / $1,071.52	Facility		$95.50	$309.03	$1,071.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $645.65 / $5,128.61	Facility		$67.61	$645.65	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $851.14	Professional		$363.08	$537.03	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $758.58	Professional		$44.67	$64.57	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $288.40	Professional		$112.20	$218.78	$288.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,819.70 / $5,248.07	Facility		$426.58	$1,819.70	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $426.58 / $426.58	Professional		$77.62	$426.58	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $380.19 / $758.58	Facility		$45.71	$380.19	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $912.01	Professional		$354.81	$478.63	$912.01