Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,202.26	Professional		$812.83	$1,174.90	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,235.94 / $3,235.94	Facility		$1,778.28	$3,235.94	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,778.28 / $2,238.72	Professional		$954.99	$1,778.28	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,570.88 / $7,413.10	Facility		$3,981.07	$4,570.88	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,467.37	Professional		$1,737.80	$2,137.96	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $478.63 / $1,659.59	Facility		$147.91	$478.63	$1,659.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,174.90 / $7,943.28	Facility		$104.71	$1,174.90	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,318.26	Professional		$562.34	$831.76	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $870.96	Professional		$54.95	$89.13	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $446.68	Professional		$204.17	$338.84	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,818.38 / $8,128.31	Facility		$977.24	$2,818.38	$8,128.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $1,230.27	Professional		$123.03	$123.03	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $588.84 / $1,174.90	Facility		$70.79	$588.84	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,412.54	Professional		$549.54	$741.31	$1,412.54