Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $660.69	Professional		$331.13	$407.38	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,288.25	Facility		$794.33	$794.33	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $891.25	Professional		$660.69	$741.31	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,819.70 / $3,890.45	Facility		$501.19	$1,819.70	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,122.02 / $1,479.11	Professional		$363.08	$1,122.02	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $977.24	Facility		$380.19	$630.96	$977.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $933.25	Professional		$446.68	$776.25	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $776.25 / $3,715.35	Facility		$389.05	$776.25	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $891.25	Professional		$346.74	$489.78	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $562.34	Professional		$54.95	$70.79	$562.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $2,187.76	Professional		$794.33	$1,174.90	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,584.89 / $4,365.16	Facility		$501.19	$1,584.89	$4,365.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $724.44 / $4,570.88	Professional		$363.08	$724.44	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $524.81 / $1,122.02	Facility		$407.38	$524.81	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $660.69	Professional		$288.40	$407.38	$660.69