Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $724.44	Professional		$389.05	$549.54	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,548.82	Facility		$933.25	$933.25	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,047.13	Professional		$707.95	$870.96	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $1,412.54	Professional		$645.65	$1,148.15	$1,412.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $588.84 / $1,096.48	Facility		$74.13	$588.84	$1,096.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $93.33	Professional		$83.18	$83.18	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $616.60 / $4,168.69	Facility		$79.43	$616.60	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $891.25	Professional		$338.84	$446.68	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $97.72	Professional		$45.71	$66.07	$97.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $257.04	Professional		$100.00	$181.97	$257.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,479.11 / $4,265.80	Facility		$64.57	$1,479.11	$4,265.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,318.26 / $3,981.07	Professional		$645.65	$1,318.26	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $338.84 / $588.84	Facility		$41.69	$338.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $660.69	Professional		$309.03	$371.54	$660.69