Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $630.96	Professional		$295.12	$371.54	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,258.93	Facility		$758.58	$758.58	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $851.14	Professional		$436.52	$707.95	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,737.80 / $3,715.35	Facility		$407.38	$1,737.80	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,071.52 / $1,445.44	Professional		$302.00	$1,071.52	$1,445.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $616.60 / $933.25	Facility		$363.08	$616.60	$933.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $912.01	Professional		$426.58	$676.08	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $741.31 / $3,467.37	Facility		$380.19	$741.31	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $851.14	Professional		$331.13	$457.09	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $446.68	Professional		$54.95	$70.79	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $2,089.30	Professional		$758.58	$1,148.15	$2,089.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,513.56 / $3,467.37	Facility		$407.38	$1,513.56	$3,467.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $602.56 / $4,265.80	Professional		$302.00	$602.56	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $489.78 / $1,071.52	Facility		$245.47	$489.78	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $630.96	Professional		$275.42	$371.54	$630.96