Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $707.95	Professional		$407.38	$478.63	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,548.82	Facility		$954.99	$954.99	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,071.52	Professional		$707.95	$870.96	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,187.76 / $4,677.35	Facility		$501.19	$2,187.76	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,348.96 / $1,778.28	Professional		$363.08	$1,348.96	$1,778.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $1,174.90	Facility		$446.68	$758.58	$1,174.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,202.26	Professional		$851.14	$1,023.29	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $933.25 / $4,265.80	Facility		$467.74	$933.25	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $1,047.13	Professional		$389.05	$478.63	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $602.56	Professional		$54.95	$70.79	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,511.89	Professional		$954.99	$1,412.54	$2,511.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,905.46 / $5,128.61	Facility		$501.19	$1,905.46	$5,128.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $724.44 / $5,754.40	Professional		$363.08	$724.44	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $467.74 / $1,318.26	Facility		$371.54	$467.74	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $776.25	Professional		$316.23	$467.74	$776.25