Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $467.74	Professional		$239.88	$338.84	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,148.15	Facility		$691.83	$691.83	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $645.65 / $776.25	Professional		$630.96	$645.65	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,584.89 / $3,388.44	Facility		$363.08	$1,584.89	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $977.24 / $1,318.26	Professional		$263.03	$977.24	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $562.34 / $851.14	Facility		$281.84	$562.34	$851.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $933.25	Professional		$616.60	$776.25	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $676.08 / $2,691.53	Facility		$338.84	$676.08	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $741.31	Professional		$239.88	$338.84	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $316.23	Professional		$54.95	$70.79	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,584.89	Professional		$691.83	$1,047.13	$1,584.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,380.38 / $3,235.94	Facility		$363.08	$1,380.38	$3,235.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $3,548.13	Professional		$263.03	$524.81	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $302.00 / $831.76	Facility		$234.42	$302.00	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $562.34	Professional		$223.87	$338.84	$562.34