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 $295.12 / $416.87 / $478.63	Professional		$295.12	$416.87	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,096.48 / $1,096.48	Facility		$602.56	$1,096.48	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $758.58	Professional		$512.86	$602.56	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $2,344.23	Facility		$380.19	$380.19	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $1,174.90	Professional		$380.19	$707.95	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $588.84 / $851.14	Facility		$354.81	$588.84	$851.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $741.31 / $2,691.53	Facility		$354.81	$741.31	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $676.08	Professional		$288.40	$407.38	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $478.63	Professional		$50.12	$64.57	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $169.82	Professional		$79.43	$128.82	$169.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $2,691.53	Facility		$380.19	$1,202.26	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $446.68	Professional		$316.23	$380.19	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $257.04 / $407.38	Facility		$33.11	$257.04	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $691.83	Professional		$245.47	$398.11	$691.83