Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $676.08	Professional		$380.19	$478.63	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,584.89	Facility		$977.24	$977.24	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $891.25 / $1,096.48	Professional		$870.96	$891.25	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,238.72 / $4,786.30	Facility		$549.54	$2,238.72	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,380.38 / $1,819.70	Professional		$398.11	$1,380.38	$1,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $776.25 / $1,202.26	Facility		$426.58	$776.25	$1,202.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,348.96	Professional		$870.96	$1,096.48	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $954.99 / $4,168.69	Facility		$478.63	$954.99	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $1,071.52	Professional		$354.81	$478.63	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $323.59	Professional		$54.95	$70.79	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,398.83	Professional		$977.24	$1,445.44	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,949.84 / $4,897.79	Facility		$549.54	$1,949.84	$4,897.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $6,025.60	Professional		$398.11	$812.83	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $457.09 / $1,258.93	Facility		$354.81	$457.09	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $794.33	Professional		$316.23	$478.63	$794.33