Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,096.48	Professional		$562.34	$891.25	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,778.28	Facility		$1,071.52	$1,071.52	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,202.26	Professional		$812.83	$1,000.00	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $5,248.07	Facility		$851.14	$3,162.28	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $1,513.56	Professional		$724.44	$1,258.93	$1,513.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $794.33 / $1,288.25	Facility		$100.00	$794.33	$1,288.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $173.78	Professional		$85.11	$85.11	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $812.83 / $2,089.30	Facility		$79.43	$812.83	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $117.49 / $5,011.87	Professional		$54.95	$117.49	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $58.88 / $89.13	Professional		$2.14	$58.88	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $323.59	Professional		$107.15	$204.17	$323.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $851.14 / $5,370.32	Facility		$64.57	$851.14	$5,370.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $5,011.87	Professional		$724.44	$851.14	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $549.54 / $2,630.27	Facility		$70.79	$549.54	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $977.24	Professional		$66.07	$117.49	$977.24