Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $851.14	Professional		$426.58	$512.86	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,659.59	Facility		$1,000.00	$1,000.00	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,122.02	Professional		$707.95	$933.25	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,344.23 / $4,897.79	Facility		$549.54	$2,344.23	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,445.44 / $1,905.46	Professional		$398.11	$1,445.44	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $758.58 / $1,174.90	Facility		$281.84	$758.58	$1,174.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $1,202.26	Professional		$562.34	$954.99	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $977.24 / $4,570.88	Facility		$501.19	$977.24	$4,570.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,122.02	Professional		$436.52	$524.81	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $645.65	Professional		$54.95	$70.79	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,754.23	Professional		$1,000.00	$1,513.56	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,995.26 / $4,570.88	Facility		$549.54	$1,995.26	$4,570.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,071.52 / $5,011.87	Professional		$398.11	$1,071.52	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $512.86 / $1,445.44	Facility		$407.38	$512.86	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $831.76	Professional		$346.74	$489.78	$831.76