Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $436.52	Professional		$269.15	$398.11	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,071.52	Facility		$588.84	$1,071.52	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $741.31	Professional		$537.03	$588.84	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $2,187.76	Facility		$354.81	$354.81	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $1,148.15	Professional		$354.81	$660.69	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $758.58	Facility		$208.93	$524.81	$758.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $707.95 / $2,570.40	Facility		$208.93	$707.95	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $602.56	Professional		$269.15	$363.08	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $489.78	Professional		$50.12	$64.57	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $162.18	Professional		$77.62	$120.23	$162.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,174.90 / $2,570.40	Facility		$354.81	$1,174.90	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $416.87	Professional		$302.00	$354.81	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $245.47 / $389.05	Facility		$31.62	$245.47	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $645.65	Professional		$223.87	$354.81	$645.65