Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $416.87	Professional		$269.15	$323.59	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,122.02	Professional		$331.13	$575.44	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,000.00 / $1,122.02	Professional		$446.68	$1,000.00	$1,122.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $363.08 / $436.52	Facility		$323.59	$363.08	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $436.52 / $1,905.46	Facility		$323.59	$436.52	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $1,258.93	Professional		$346.74	$501.19	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $58.88	Professional		$50.12	$50.12	$58.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,148.15	Professional		$575.44	$851.14	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $2,187.76	Facility		$676.08	$676.08	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $1,202.26	Professional		$346.74	$501.19	$1,202.26