Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $616.60	Professional		$309.03	$371.54	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,071.52	Facility		$645.65	$645.65	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $724.44	Professional		$549.54	$602.56	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,513.56 / $3,162.28	Facility		$416.87	$1,513.56	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $933.25 / $1,230.27	Professional		$302.00	$933.25	$1,230.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $524.81 / $812.83	Facility		$316.23	$524.81	$812.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $851.14	Professional		$363.08	$645.65	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $645.65 / $3,388.44	Facility		$323.59	$645.65	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $758.58	Professional		$295.12	$426.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,995.26	Professional		$645.65	$977.24	$1,995.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,288.25 / $4,073.80	Facility		$416.87	$1,288.25	$4,073.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $602.56 / $4,897.79	Professional		$302.00	$602.56	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $478.63 / $1,047.13	Facility		$380.19	$478.63	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $537.03	Professional		$257.04	$323.59	$537.03