Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $549.54	Professional		$288.40	$380.19	$549.54
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 $645.65 / $707.95 / $851.14	Professional		$645.65	$707.95	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,737.80 / $3,715.35	Facility		$524.81	$1,737.80	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,071.52 / $1,445.44	Professional		$380.19	$1,071.52	$1,445.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $616.60 / $933.25	Facility		$346.74	$616.60	$933.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,202.26	Professional		$676.08	$954.99	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $741.31 / $3,388.44	Facility		$380.19	$741.31	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $831.76	Professional		$288.40	$389.05	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $288.40	Professional		$54.95	$70.79	$288.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,949.84	Professional		$758.58	$1,148.15	$1,949.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,513.56 / $3,981.07	Facility		$524.81	$1,513.56	$3,981.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $691.83 / $3,981.07	Professional		$380.19	$691.83	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $371.54 / $1,023.29	Facility		$288.40	$371.54	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $616.60	Professional		$251.19	$371.54	$616.60