Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $660.69	Professional		$316.23	$380.19	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,202.26	Facility		$724.44	$724.44	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $676.08 / $812.83	Professional		$616.60	$676.08	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,659.59 / $3,548.13	Facility		$457.09	$1,659.59	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,023.29 / $1,380.38	Professional		$331.13	$1,023.29	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $588.84 / $891.25	Facility		$354.81	$588.84	$891.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $870.96	Professional		$407.38	$707.95	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $707.95 / $3,715.35	Facility		$354.81	$707.95	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $851.14	Professional		$331.13	$467.74	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $478.63	Professional		$54.95	$70.79	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,238.72	Professional		$724.44	$1,096.48	$2,238.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,445.44 / $3,801.89	Facility		$457.09	$1,445.44	$3,801.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $676.08 / $4,677.35	Professional		$331.13	$676.08	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $537.03 / $1,148.15	Facility		$354.81	$537.03	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $602.56	Professional		$295.12	$389.05	$602.56