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 $288.40 / $371.54 / $575.44	Professional		$288.40	$371.54	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,174.90	Facility		$707.95	$707.95	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $776.25	Professional		$489.78	$660.69	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,659.59 / $3,467.37	Facility		$457.09	$1,659.59	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,023.29 / $1,348.96	Professional		$331.13	$1,023.29	$1,348.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $575.44 / $891.25	Facility		$338.84	$575.44	$891.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,096.48	Professional		$630.96	$870.96	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $691.83 / $3,235.94	Facility		$354.81	$691.83	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $812.83	Professional		$309.03	$436.52	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $416.87	Professional		$54.95	$70.79	$416.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,949.84	Professional		$707.95	$1,071.52	$1,949.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,412.54 / $3,890.45	Facility		$457.09	$1,412.54	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $660.69 / $4,365.16	Professional		$331.13	$660.69	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $457.09 / $1,000.00	Facility		$363.08	$457.09	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $588.84	Professional		$257.04	$371.54	$588.84