Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $489.78	Professional		$309.03	$416.87	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $1,174.90	Facility		$645.65	$1,174.90	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $831.76	Professional		$512.86	$645.65	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $3,162.28	Facility		$354.81	$354.81	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $794.33 / $1,230.27	Professional		$354.81	$794.33	$1,230.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $416.87 / $758.58	Facility		$169.82	$416.87	$758.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $724.44 / $2,951.21	Facility		$169.82	$724.44	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $602.56	Professional		$245.47	$309.03	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $389.05	Professional		$50.12	$64.57	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $165.96	Professional		$85.11	$123.03	$165.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,258.93 / $2,951.21	Facility		$354.81	$1,258.93	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $446.68	Professional		$302.00	$354.81	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $223.87 / $416.87	Facility		$25.12	$223.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $645.65	Professional		$208.93	$309.03	$645.65