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 $407.38 / $446.68 / $549.54	Professional		$407.38	$446.68	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $3,090.30	Facility		$199.53	$199.53	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $776.25 / $870.96	Professional		$199.53	$776.25	$870.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $446.68 / $812.83	Facility		$281.84	$446.68	$812.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,258.93 / $3,548.13	Facility		$281.84	$1,258.93	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $758.58	Professional		$371.54	$501.19	$758.58
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 $97.72 / $141.25 / $190.55	Professional		$97.72	$141.25	$190.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,258.93 / $4,265.80	Facility		$199.53	$1,258.93	$4,265.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $204.17	Professional		$169.82	$199.53	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $371.54 / $676.08	Facility		$38.90	$371.54	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $776.25	Professional		$302.00	$426.58	$776.25