Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $741.31 / $776.25	Professional		$724.44	$741.31	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $776.25 / $812.83	Facility		$676.08	$776.25	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $426.58 / $776.25	Facility		$204.17	$426.58	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $758.58 / $912.01	Facility		$724.44	$758.58	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $758.58 / $912.01	Facility		$371.54	$758.58	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,584.89	Professional		$758.58	$758.58	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $3,467.37	Facility		$776.25	$776.25	$3,467.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $4,073.80	Professional		$776.25	$776.25	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $371.54 / $371.54	Facility		$363.08	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,047.13	Professional		$758.58	$758.58	$1,047.13