Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $562.34	Professional		$281.84	$354.81	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,174.90	Facility		$707.95	$707.95	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $794.33	Professional		$630.96	$660.69	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,621.81 / $3,467.37	Facility		$457.09	$1,621.81	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,000.00 / $1,348.96	Professional		$338.84	$1,000.00	$1,348.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $575.44 / $870.96	Facility		$338.84	$575.44	$870.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,071.52	Professional		$630.96	$851.14	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $3,090.30	Facility		$346.74	$691.83	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $776.25	Professional		$302.00	$416.87	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $407.38	Professional		$54.95	$70.79	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,905.46	Professional		$707.95	$1,047.13	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,412.54 / $3,388.44	Facility		$457.09	$1,412.54	$3,388.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $676.08 / $3,981.07	Professional		$338.84	$676.08	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $457.09 / $1,000.00	Facility		$281.84	$457.09	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $588.84	Professional		$251.19	$346.74	$588.84