Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $489.78 / $512.86	Professional		$478.63	$489.78	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $1,905.46	Facility		$1,584.89	$1,819.70	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $512.86 / $741.31	Facility		$275.42	$512.86	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $2,818.38	Facility		$478.63	$707.95	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $2,511.89	Facility		$478.63	$562.34	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $2,290.87	Professional		$501.19	$501.19	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $758.58	Professional		$50.12	$60.26	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,365.16	Facility		$3,467.37	$3,467.37	$4,365.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $2,691.53	Professional		$512.86	$512.86	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $562.34	Professional		$501.19	$501.19	$562.34