Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $512.86	Professional		$281.84	$371.54	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,258.93	Facility		$758.58	$758.58	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $851.14	Professional		$467.74	$707.95	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,737.80 / $3,715.35	Facility		$380.19	$1,737.80	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,071.52 / $1,445.44	Professional		$275.42	$1,071.52	$1,445.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $616.60 / $933.25	Facility		$323.59	$616.60	$933.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,148.15	Professional		$676.08	$912.01	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $741.31 / $3,090.30	Facility		$371.54	$741.31	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $831.76	Professional		$288.40	$371.54	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $234.42	Professional		$54.95	$70.79	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,819.70	Professional		$758.58	$1,148.15	$1,819.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,513.56 / $3,715.35	Facility		$380.19	$1,513.56	$3,715.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $616.60 / $4,265.80	Professional		$275.42	$616.60	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $954.99	Facility		$269.15	$338.84	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $616.60	Professional		$245.47	$371.54	$616.60