Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $794.33	Professional		$478.63	$645.65	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,412.54 / $1,412.54	Facility		$776.25	$1,412.54	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $954.99	Professional		$616.60	$776.25	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $691.83 / $2,884.03	Facility		$616.60	$691.83	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,479.11	Professional		$524.81	$870.96	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $501.19 / $933.25	Facility		$74.13	$501.19	$933.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $794.33 / $3,548.13	Facility		$85.11	$794.33	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $758.58	Professional		$323.59	$446.68	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $64.57 / $616.60	Professional		$1.26	$64.57	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $199.53	Professional		$87.10	$158.49	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,778.28 / $3,630.78	Facility		$616.60	$1,778.28	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $616.60 / $630.96	Professional		$66.07	$616.60	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $354.81 / $562.34	Facility		$50.12	$354.81	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $758.58	Professional		$309.03	$416.87	$758.58