Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $575.44	Professional		$281.84	$309.03	$575.44
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 $371.54 / $1,348.96 / $2,884.03	Facility		$371.54	$1,348.96	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $831.76 / $1,122.02	Professional		$275.42	$831.76	$1,122.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $478.63 / $724.44	Facility		$288.40	$478.63	$724.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $741.31	Professional		$331.13	$575.44	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $575.44 / $2,951.21	Facility		$295.12	$575.44	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $691.83	Professional		$269.15	$331.13	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $338.84	Professional		$54.95	$70.79	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,737.80	Professional		$588.84	$891.25	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,174.90 / $3,548.13	Facility		$371.54	$1,174.90	$3,548.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $3,715.35	Professional		$275.42	$549.54	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $323.59 / $912.01	Facility		$257.04	$323.59	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $489.78	Professional		$218.78	$288.40	$489.78