Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $602.56	Professional		$288.40	$338.84	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,000.00	Facility		$602.56	$602.56	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $676.08	Professional		$489.78	$562.34	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,412.54 / $3,019.95	Facility		$380.19	$1,412.54	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $870.96 / $1,148.15	Professional		$275.42	$870.96	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $489.78 / $758.58	Facility		$295.12	$489.78	$758.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $1,148.15	Professional		$537.03	$912.01	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $588.84 / $3,311.31	Facility		$302.00	$588.84	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $724.44	Professional		$275.42	$398.11	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $407.38	Professional		$54.95	$70.79	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,862.09	Professional		$602.56	$912.01	$1,862.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,801.89	Facility		$380.19	$1,202.26	$3,801.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $4,786.30	Professional		$275.42	$549.54	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $446.68 / $977.24	Facility		$354.81	$446.68	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $512.86	Professional		$245.47	$363.08	$512.86