Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $478.63	Professional		$269.15	$309.03	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $977.24	Facility		$602.56	$602.56	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $676.08	Professional		$501.19	$562.34	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,380.38 / $2,951.21	Facility		$338.84	$1,380.38	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $851.14 / $1,122.02	Professional		$245.47	$851.14	$1,122.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $478.63 / $741.31	Facility		$295.12	$478.63	$741.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $954.99	Professional		$537.03	$758.58	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $588.84 / $2,884.03	Facility		$302.00	$588.84	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $676.08	Professional		$245.47	$316.23	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $275.42	Professional		$54.95	$70.79	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,698.24	Professional		$602.56	$891.25	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,202.26 / $3,388.44	Facility		$338.84	$1,202.26	$3,388.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $489.78 / $4,265.80	Professional		$245.47	$489.78	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $316.23 / $870.96	Facility		$245.47	$316.23	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $501.19	Professional		$208.93	$295.12	$501.19