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 $295.12 / $354.81 / $575.44	Professional		$295.12	$354.81	$575.44
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 $588.84 / $645.65 / $776.25	Professional		$588.84	$645.65	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,584.89 / $3,388.44	Facility		$380.19	$1,584.89	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $977.24 / $1,318.26	Professional		$275.42	$977.24	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $851.14	Facility		$338.84	$562.34	$851.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $660.69 / $831.76	Professional		$389.05	$660.69	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $676.08 / $3,162.28	Facility		$346.74	$676.08	$3,162.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $776.25	Professional		$302.00	$363.08	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $85.11	Professional		$37.15	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,905.46	Professional		$691.83	$1,047.13	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,380.38 / $3,162.28	Facility		$380.19	$1,380.38	$3,162.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $3,467.37	Professional		$275.42	$549.54	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $354.81 / $1,000.00	Facility		$281.84	$354.81	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $575.44	Professional		$239.88	$338.84	$575.44