Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $831.76	Professional		$346.74	$446.68	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,071.52	Facility		$660.69	$660.69	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $741.31	Professional		$616.60	$660.69	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,691.53 / $3,630.78	Facility		$741.31	$2,691.53	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,071.52 / $1,230.27	Professional		$537.03	$1,071.52	$1,230.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $977.24	Facility		$398.11	$645.65	$977.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,096.48	Professional		$645.65	$977.24	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $707.95 / $3,235.94	Facility		$398.11	$707.95	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,348.96	Professional		$537.03	$630.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $331.13	Professional		$54.95	$70.79	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,479.11	Professional		$524.81	$776.25	$1,479.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,288.25 / $3,235.94	Facility		$741.31	$1,288.25	$3,235.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,071.52 / $5,011.87	Professional		$537.03	$1,071.52	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $1,445.44	Facility		$501.19	$588.84	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $954.99	Professional		$398.11	$602.56	$954.99