Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $891.25	Professional		$426.58	$489.78	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,479.11	Facility		$891.25	$891.25	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,000.00	Professional		$758.58	$831.76	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,041.74 / $4,365.16	Facility		$512.86	$2,041.74	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,258.93 / $1,698.24	Professional		$371.54	$1,258.93	$1,698.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $676.08 / $1,047.13	Facility		$436.52	$676.08	$1,047.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,202.26	Professional		$794.33	$1,000.00	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $870.96 / $4,265.80	Facility		$446.68	$870.96	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $1,000.00	Professional		$398.11	$489.78	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $398.11	Professional		$54.95	$70.79	$398.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,570.40	Professional		$891.25	$1,348.96	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,778.28 / $5,128.61	Facility		$512.86	$1,778.28	$5,128.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $741.31 / $5,248.07	Professional		$371.54	$741.31	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $467.74 / $1,318.26	Facility		$371.54	$467.74	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $758.58	Professional		$316.23	$436.52	$758.58