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 $302.00 / $407.38 / $630.96	Professional		$302.00	$407.38	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,348.96	Facility		$831.76	$831.76	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $912.01	Professional		$616.60	$758.58	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,905.46 / $4,073.80	Facility		$416.87	$1,905.46	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,174.90 / $1,548.82	Professional		$309.03	$1,174.90	$1,548.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $660.69 / $1,023.29	Facility		$371.54	$660.69	$1,023.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,230.27	Professional		$676.08	$977.24	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $812.83 / $3,467.37	Facility		$407.38	$812.83	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $912.01	Professional		$331.13	$489.78	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $489.78	Professional		$54.95	$70.79	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $2,089.30	Professional		$831.76	$1,230.27	$2,089.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,621.81 / $3,467.37	Facility		$416.87	$1,621.81	$3,467.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $616.60 / $3,715.35	Professional		$309.03	$616.60	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $1,096.48	Facility		$309.03	$501.19	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $676.08	Professional		$281.84	$398.11	$676.08