Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $741.31	Professional		$501.19	$630.96	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,737.80 / $1,737.80	Facility		$954.99	$1,737.80	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,202.26	Professional		$602.56	$954.99	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $5,370.32	Facility		$2,884.03	$3,235.94	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,862.09	Professional		$1,230.27	$1,513.56	$1,862.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $302.00 / $1,047.13	Facility		$93.33	$302.00	$1,047.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $630.96 / $4,897.79	Facility		$66.07	$630.96	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $831.76	Professional		$354.81	$512.86	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $467.74	Professional		$43.65	$58.88	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $281.84	Professional		$109.65	$213.80	$281.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,737.80 / $5,128.61	Facility		$616.60	$1,737.80	$5,128.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $776.25	Professional		$75.86	$75.86	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $371.54 / $741.31	Facility		$44.67	$371.54	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $891.25	Professional		$346.74	$467.74	$891.25