Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $707.95	Professional		$323.59	$426.58	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,412.54	Facility		$870.96	$870.96	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $954.99	Professional		$724.44	$812.83	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,995.26 / $4,265.80	Facility		$398.11	$1,995.26	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,230.27 / $1,621.81	Professional		$295.12	$1,230.27	$1,621.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $691.83 / $1,071.52	Facility		$363.08	$691.83	$1,071.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,023.29	Professional		$489.78	$776.25	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $851.14 / $3,630.78	Facility		$426.58	$851.14	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $954.99	Professional		$323.59	$478.63	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $426.58	Professional		$54.95	$70.79	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,041.74	Professional		$870.96	$1,288.25	$2,041.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,737.80 / $3,630.78	Facility		$398.11	$1,737.80	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $588.84 / $4,265.80	Professional		$295.12	$588.84	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $489.78 / $1,047.13	Facility		$371.54	$489.78	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $707.95	Professional		$281.84	$426.58	$707.95