Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $501.19 / $537.03	Facility		$436.52	$501.19	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $758.58	Professional		$389.05	$446.68	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,445.44	Facility		$870.96	$870.96	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $977.24	Professional		$741.31	$812.83	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,995.26 / $4,265.80	Facility		$575.44	$1,995.26	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,258.93 / $1,659.59	Professional		$426.58	$1,258.93	$1,659.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $707.95 / $1,071.52	Facility		$436.52	$707.95	$1,071.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,344.23 / $2,951.21	Professional		$776.25	$2,344.23	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $851.14 / $4,265.80	Facility		$436.52	$851.14	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $1,047.13	Professional		$389.05	$512.86	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $380.19	Professional		$54.95	$70.79	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,570.40	Professional		$870.96	$1,318.26	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,737.80 / $4,897.79	Facility		$575.44	$1,737.80	$4,897.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $891.25 / $5,011.87	Professional		$426.58	$891.25	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $478.63 / $1,318.26	Facility		$371.54	$478.63	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $977.24	Professional		$316.23	$426.58	$977.24