Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $691.83	Professional		$331.13	$416.87	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,380.38	Facility		$831.76	$831.76	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $912.01	Professional		$707.95	$776.25	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,905.46 / $4,073.80	Facility		$524.81	$1,905.46	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,174.90 / $1,584.89	Professional		$389.05	$1,174.90	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $1,023.29	Facility		$407.38	$676.08	$1,023.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,000.00	Professional		$467.74	$741.31	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $812.83 / $3,890.45	Facility		$416.87	$812.83	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $933.25	Professional		$371.54	$501.19	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $549.54	Professional		$54.95	$70.79	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,344.23	Professional		$831.76	$1,258.93	$2,344.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,659.59 / $3,981.07	Facility		$524.81	$1,659.59	$3,981.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $776.25 / $4,897.79	Professional		$389.05	$776.25	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $562.34 / $1,202.26	Facility		$275.42	$562.34	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $691.83	Professional		$309.03	$407.38	$691.83