Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $501.19	Professional		$251.19	$302.00	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $977.24	Facility		$588.84	$588.84	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $660.69	Professional		$501.19	$549.54	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,380.38 / $2,951.21	Facility		$323.59	$1,380.38	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $851.14 / $1,122.02	Professional		$239.88	$851.14	$1,122.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $478.63 / $741.31	Facility		$295.12	$478.63	$741.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $891.25	Professional		$524.81	$707.95	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $588.84 / $2,691.53	Facility		$302.00	$588.84	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $660.69	Professional		$257.04	$309.03	$660.69
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 $588.84 / $891.25 / $1,621.81	Professional		$588.84	$891.25	$1,621.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,174.90 / $2,691.53	Facility		$323.59	$1,174.90	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $630.96 / $2,951.21	Professional		$239.88	$630.96	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $851.14	Facility		$239.88	$295.12	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $489.78	Professional		$204.17	$288.40	$489.78