Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $512.86	Professional		$269.15	$309.03	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,023.29	Facility		$616.60	$616.60	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $691.83	Professional		$524.81	$575.44	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,445.44 / $3,019.95	Facility		$398.11	$1,445.44	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $891.25 / $1,174.90	Professional		$295.12	$891.25	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $501.19 / $776.25	Facility		$302.00	$501.19	$776.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $912.01	Professional		$549.54	$741.31	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $602.56 / $2,818.38	Facility		$309.03	$602.56	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $691.83	Professional		$269.15	$371.54	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $407.38	Professional		$54.95	$70.79	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,698.24	Professional		$616.60	$933.25	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,230.27 / $2,818.38	Facility		$398.11	$1,230.27	$2,818.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $588.84 / $3,090.30	Professional		$295.12	$588.84	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $407.38 / $891.25	Facility		$323.59	$407.38	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $512.86	Professional		$223.87	$302.00	$512.86