Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $17,782.79	Facility		$524.81	$524.81	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $977.24	Professional		$549.54	$870.96	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,621.81 / $4,570.88	Professional		$870.96	$1,621.81	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $870.96 / $1,096.48	Facility		$549.54	$870.96	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $5,248.07	Facility		$588.84	$977.24	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $6,760.83	Professional		$912.01	$1,479.11	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $3,090.30	Professional		$1,202.26	$2,041.74	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $5,495.41	Facility		$3,311.31	$3,311.31	$5,495.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $6,606.93 / $6,606.93	Professional		$1,949.84	$6,606.93	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $3,388.44	Professional		$870.96	$1,258.93	$3,388.44