Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $562.34	Professional		$281.84	$380.19	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,288.25	Facility		$776.25	$776.25	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $851.14	Professional		$588.84	$724.44	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,778.28 / $3,801.89	Facility		$489.78	$1,778.28	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,096.48 / $1,479.11	Professional		$363.08	$1,096.48	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $630.96 / $954.99	Facility		$316.23	$630.96	$954.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $954.99	Professional		$660.69	$812.83	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $758.58 / $3,090.30	Facility		$389.05	$758.58	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $870.96	Professional		$288.40	$426.58	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $309.03	Professional		$54.95	$70.79	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,819.70	Professional		$776.25	$1,174.90	$1,819.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,548.82 / $3,090.30	Facility		$489.78	$1,548.82	$3,090.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $3,467.37	Professional		$363.08	$645.65	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $933.25	Facility		$302.00	$426.58	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $630.96	Professional		$251.19	$380.19	$630.96