Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $691.83	Professional		$354.81	$407.38	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,380.38	Facility		$831.76	$831.76	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $933.25	Professional		$707.95	$776.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,905.46 / $4,073.80	Facility		$524.81	$1,905.46	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,174.90 / $1,584.89	Professional		$380.19	$1,174.90	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $676.08 / $1,023.29	Facility		$398.11	$676.08	$1,023.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $977.24	Professional		$741.31	$812.83	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $812.83 / $3,801.89	Facility		$407.38	$812.83	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $912.01	Professional		$363.08	$512.86	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $281.84	Professional		$54.95	$70.79	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $2,290.87	Professional		$831.76	$1,230.27	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,659.59 / $3,801.89	Facility		$524.81	$1,659.59	$3,801.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $891.25 / $4,073.80	Professional		$380.19	$891.25	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $549.54 / $1,174.90	Facility		$426.58	$549.54	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $691.83	Professional		$302.00	$407.38	$691.83