Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $954.99 / $1,412.54	Professional		$81.28	$954.99	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,754.23	Facility		$1,698.24	$1,698.24	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,862.09	Professional		$1,412.54	$1,548.82	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $5,128.61 / $8,317.64	Facility		$120.23	$5,128.61	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $2,398.83 / $3,162.28	Professional		$102.33	$2,398.83	$3,162.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,380.38 / $1,995.26	Facility		$128.82	$1,380.38	$1,995.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $1,995.26	Professional		$1,621.81	$1,737.80	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,659.59 / $7,762.47	Facility		$954.99	$1,659.59	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $1,659.59	Professional		$69.18	$85.11	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $70.79	Professional		$33.11	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $4,677.35	Professional		$1,698.24	$2,511.89	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $3,311.31 / $7,762.47	Facility		$120.23	$3,311.31	$7,762.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $8,317.64	Professional		$102.33	$194.98	$8,317.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $2,398.83	Facility		$63.10	$85.11	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $575.44	Professional		$69.18	$79.43	$575.44