Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $602.56	Professional		$275.42	$389.05	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,288.25	Facility		$794.33	$794.33	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $870.96	Professional		$660.69	$741.31	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,819.70 / $3,890.45	Facility		$501.19	$1,819.70	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,122.02 / $1,479.11	Professional		$363.08	$1,122.02	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $630.96 / $977.24	Facility		$323.59	$630.96	$977.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $933.25	Professional		$446.68	$707.95	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $776.25 / $3,090.30	Facility		$389.05	$776.25	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $870.96	Professional		$288.40	$436.52	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $389.05	Professional		$54.95	$70.79	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,819.70	Professional		$794.33	$1,174.90	$1,819.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,584.89 / $3,090.30	Facility		$501.19	$1,584.89	$3,090.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $3,630.78	Professional		$363.08	$660.69	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $436.52 / $954.99	Facility		$229.09	$436.52	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $645.65	Professional		$257.04	$389.05	$645.65