Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $457.09	Professional		$239.88	$275.42	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $912.01	Facility		$549.54	$549.54	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $512.86 / $616.60	Professional		$501.19	$512.86	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,288.25 / $2,754.23	Facility		$389.05	$1,288.25	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $794.33 / $1,047.13	Professional		$331.13	$794.33	$1,047.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $446.68 / $691.83	Facility		$269.15	$446.68	$691.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $602.56	Professional		$407.38	$457.09	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $2,344.23	Facility		$275.42	$549.54	$2,344.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $616.60	Professional		$245.47	$331.13	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $363.08	Professional		$54.95	$70.79	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,513.56	Professional		$549.54	$831.76	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,096.48 / $2,511.89	Facility		$389.05	$1,096.48	$2,511.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $660.69 / $2,754.23	Professional		$331.13	$660.69	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $363.08 / $794.33	Facility		$288.40	$363.08	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $457.09	Professional		$204.17	$269.15	$457.09