Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,513.56	Professional		$707.95	$1,122.02	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,235.94	Facility		$1,995.26	$1,995.26	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,238.72	Professional		$1,348.96	$1,862.09	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $6,165.95 / $9,772.37	Facility		$109.65	$6,165.95	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $2,454.71 / $3,019.95	Professional		$93.33	$2,454.71	$3,019.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $537.03 / $1,949.84	Facility		$158.49	$537.03	$1,949.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $194.98	Professional		$112.20	$177.83	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $234.42 / $1,949.84	Facility		$117.49	$234.42	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $758.58	Professional		$89.13	$112.20	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $67.61 / $169.82	Professional		$4.90	$67.61	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $537.03	Professional		$213.80	$380.19	$537.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $109.65 / $109.65	Facility		$64.57	$109.65	$109.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $147.91	Professional		$93.33	$93.33	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $281.84 / $1,230.27	Facility		$75.86	$281.84	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $977.24	Professional		$77.62	$128.82	$977.24