Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $562.34	Professional		$257.04	$346.74	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,148.15	Facility		$707.95	$707.95	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $776.25	Professional		$467.74	$645.65	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,621.81 / $3,467.37	Facility		$446.68	$1,621.81	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,000.00 / $1,318.26	Professional		$323.59	$1,000.00	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $870.96	Facility		$323.59	$562.34	$870.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $831.76	Professional		$389.05	$630.96	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $3,019.95	Facility		$346.74	$691.83	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $776.25	Professional		$288.40	$416.87	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $295.12	Professional		$54.95	$70.79	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,819.70	Professional		$707.95	$1,047.13	$1,819.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,380.38 / $3,090.30	Facility		$446.68	$1,380.38	$3,090.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $645.65 / $3,801.89	Professional		$323.59	$645.65	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $436.52 / $933.25	Facility		$107.15	$436.52	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $575.44	Professional		$239.88	$354.81	$575.44