Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,202.26	Professional		$707.95	$933.25	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $2,630.27	Facility		$1,445.44	$2,630.27	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,445.44 / $1,778.28	Professional		$831.76	$1,445.44	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $6,760.83	Facility		$707.95	$707.95	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,698.24 / $2,754.23	Professional		$707.95	$1,698.24	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $426.58 / $1,445.44	Facility		$134.90	$426.58	$1,445.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $933.25 / $6,918.31	Facility		$93.33	$933.25	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,174.90	Professional		$501.19	$691.83	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $1,071.52	Professional		$52.48	$89.13	$1,071.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $389.05	Professional		$162.18	$302.00	$389.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $7,244.36	Facility		$707.95	$2,454.71	$7,244.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $707.95 / $707.95	Professional		$109.65	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $524.81 / $1,023.29	Facility		$61.66	$524.81	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,258.93	Professional		$489.78	$645.65	$1,258.93