Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $741.31	Professional		$389.05	$446.68	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,479.11	Facility		$891.25	$891.25	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,000.00	Professional		$758.58	$831.76	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $4,365.16	Facility		$630.96	$2,041.74	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,258.93 / $1,698.24	Professional		$457.09	$1,258.93	$1,698.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $724.44 / $1,096.48	Facility		$436.52	$724.44	$1,096.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,071.52	Professional		$501.19	$851.14	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $870.96 / $4,073.80	Facility		$446.68	$870.96	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $1,000.00	Professional		$389.05	$537.03	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,454.71	Professional		$891.25	$1,348.96	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,778.28 / $4,073.80	Facility		$630.96	$1,778.28	$4,073.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $954.99 / $4,466.84	Professional		$457.09	$954.99	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $588.84 / $1,288.25	Facility		$467.74	$588.84	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $741.31	Professional		$323.59	$436.52	$741.31