Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $416.87	Professional		$251.19	$363.08	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,023.29 / $1,023.29	Facility		$562.34	$1,023.29	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $707.95	Professional		$467.74	$562.34	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $457.09 / $2,754.23	Facility		$346.74	$457.09	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $1,071.52	Professional		$346.74	$691.83	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $467.74 / $660.69	Facility		$165.96	$467.74	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $660.69 / $2,511.89	Facility		$165.96	$660.69	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $537.03	Professional		$229.09	$295.12	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $436.52	Professional		$50.12	$64.57	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $158.49	Professional		$74.13	$117.49	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,122.02 / $2,511.89	Facility		$64.57	$1,122.02	$2,511.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $407.38	Professional		$295.12	$346.74	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $218.78 / $371.54	Facility		$25.70	$218.78	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $588.84	Professional		$190.55	$281.84	$588.84