Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $741.31	Professional		$338.84	$467.74	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,584.89	Facility		$954.99	$954.99	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,047.13	Professional		$794.33	$891.25	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,187.76 / $4,677.35	Facility		$660.69	$2,187.76	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,348.96 / $1,819.70	Professional		$489.78	$1,348.96	$1,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $776.25 / $1,174.90	Facility		$426.58	$776.25	$1,174.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,380.38	Professional		$851.14	$1,148.15	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $933.25 / $3,981.07	Facility		$467.74	$933.25	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,047.13	Professional		$380.19	$562.34	$1,047.13
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 $954.99 / $1,445.44 / $2,398.83	Professional		$954.99	$1,445.44	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,905.46 / $4,786.30	Facility		$660.69	$1,905.46	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $933.25 / $5,623.41	Professional		$489.78	$933.25	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $575.44 / $1,230.27	Facility		$446.68	$575.44	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $794.33	Professional		$316.23	$467.74	$794.33