Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $660.69	Professional		$338.84	$426.58	$660.69
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 $575.44 / $707.95 / $851.14	Professional		$575.44	$707.95	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,778.28 / $3,801.89	Facility		$489.78	$1,778.28	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,096.48 / $1,445.44	Professional		$354.81	$1,096.48	$1,445.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $954.99	Facility		$371.54	$630.96	$954.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $758.58 / $1,000.00	Professional		$426.58	$758.58	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $758.58 / $3,890.45	Facility		$380.19	$758.58	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $891.25	Professional		$346.74	$501.19	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $512.86	Professional		$54.95	$70.79	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $2,344.23	Professional		$758.58	$1,148.15	$2,344.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,513.56 / $4,786.30	Facility		$489.78	$1,513.56	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $707.95 / $5,128.61	Professional		$354.81	$707.95	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $562.34 / $1,230.27	Facility		$446.68	$562.34	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $630.96	Professional		$309.03	$407.38	$630.96