Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $776.25	Professional		$354.81	$489.78	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,659.59	Facility		$1,000.00	$1,000.00	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,122.02	Professional		$851.14	$933.25	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,290.87 / $4,897.79	Facility		$645.65	$2,290.87	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,412.54 / $1,905.46	Professional		$467.74	$1,412.54	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $812.83 / $1,230.27	Facility		$416.87	$812.83	$1,230.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $1,202.26	Professional		$562.34	$977.24	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $977.24 / $4,073.80	Facility		$489.78	$977.24	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,096.48	Professional		$398.11	$562.34	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $549.54	Professional		$54.95	$70.79	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,344.23	Professional		$1,000.00	$1,513.56	$2,344.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,995.26 / $4,570.88	Facility		$645.65	$1,995.26	$4,570.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,071.52 / $4,677.35	Professional		$467.74	$1,071.52	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $562.34 / $1,230.27	Facility		$446.68	$562.34	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $812.83	Professional		$323.59	$489.78	$812.83