Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $380.19	Facility		$371.54	$371.54	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $575.44	Professional		$323.59	$380.19	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,288.25	Facility		$776.25	$776.25	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $851.14	Professional		$660.69	$724.44	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,778.28 / $3,801.89	Facility		$407.38	$1,778.28	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,096.48 / $1,479.11	Professional		$295.12	$1,096.48	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $588.84 / $912.01	Facility		$208.93	$588.84	$912.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,071.52	Professional		$691.83	$891.25	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $758.58 / $3,548.13	Facility		$380.19	$758.58	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $870.96	Professional		$316.23	$389.05	$870.96
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 $776.25 / $1,174.90 / $2,041.74	Professional		$776.25	$1,174.90	$2,041.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,548.82 / $4,168.69	Facility		$407.38	$1,548.82	$4,168.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $602.56 / $4,677.35	Professional		$295.12	$602.56	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $1,071.52	Facility		$302.00	$380.19	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $630.96	Professional		$257.04	$380.19	$630.96