Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $602.56	Professional		$380.19	$524.81	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,445.44 / $1,445.44	Facility		$794.33	$1,445.44	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,000.00	Professional		$562.34	$794.33	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $3,890.45	Facility		$275.42	$275.42	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $954.99 / $1,513.56	Professional		$234.42	$954.99	$1,513.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $977.24	Facility		$524.81	$691.83	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $954.99 / $3,630.78	Facility		$524.81	$954.99	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $794.33	Professional		$338.84	$426.58	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $181.97	Professional		$50.12	$64.57	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $239.88	Professional		$104.71	$173.78	$239.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,584.89 / $3,630.78	Facility		$64.57	$1,584.89	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $288.40	Professional		$204.17	$275.42	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $309.03 / $562.34	Facility		$34.67	$309.03	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $870.96	Professional		$281.84	$407.38	$870.96