Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,023.29	Professional		$588.84	$741.31	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $2,137.96	Facility		$1,778.28	$2,041.74	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $3,548.13	Professional		$977.24	$1,659.59	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,698.24 / $1,905.46	Professional		$912.01	$1,698.24	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $1,174.90	Facility		$616.60	$812.83	$1,174.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $1,000.00	Professional		$151.36	$151.36	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,174.90	Facility		$676.08	$891.25	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $6,165.95	Professional		$891.25	$891.25	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $457.09	Professional		$50.12	$64.57	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,511.89 / $3,548.13	Professional		$1,174.90	$2,511.89	$3,548.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $6,165.95	Facility		$912.01	$912.01	$6,165.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $4,677.35 / $6,165.95	Professional		$912.01	$4,677.35	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,023.29	Facility		$954.99	$1,023.29	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,202.26	Professional		$891.25	$891.25	$1,202.26