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 $331.13 / $426.58 / $831.76	Professional		$331.13	$426.58	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,047.13	Facility		$645.65	$645.65	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $707.95	Professional		$602.56	$645.65	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,290.87 / $3,090.30	Facility		$645.65	$2,290.87	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $933.25 / $1,202.26	Professional		$467.74	$933.25	$1,202.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $831.76	Facility		$371.54	$616.60	$831.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $912.01	Professional		$562.34	$676.08	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $3,019.95	Facility		$398.11	$630.96	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,148.15	Professional		$457.09	$588.84	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $524.81	Professional		$54.95	$70.79	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,737.80	Professional		$645.65	$1,071.52	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,258.93 / $3,019.95	Facility		$645.65	$1,258.93	$3,019.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $954.99 / $4,168.69	Professional		$467.74	$954.99	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $524.81 / $1,122.02	Facility		$436.52	$524.81	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $831.76	Professional		$338.84	$501.19	$831.76