Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $660.69 / $660.69	Facility		$575.44	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $616.60	Professional		$575.44	$602.56	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,479.11	Facility		$1,230.27	$1,412.54	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $2,398.83	Professional		$645.65	$1,096.48	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,819.70 / $2,951.21	Facility		$616.60	$1,819.70	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,023.29	Professional		$616.60	$831.76	$1,023.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $575.44 / $724.44	Facility		$501.19	$575.44	$724.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $537.03	Professional		$398.11	$398.11	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $602.56 / $724.44	Facility		$501.19	$602.56	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $3,467.37	Professional		$676.08	$676.08	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $102.33	Professional		$50.12	$64.57	$102.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $1,122.02 / $1,737.80	Professional		$19.95	$1,122.02	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $3,311.31	Facility		$616.60	$616.60	$3,311.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $3,467.37	Professional		$616.60	$891.25	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $933.25	Professional		$676.08	$676.08	$933.25