Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $912.01	Professional		$562.34	$794.33	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $2,187.76	Facility		$1,202.26	$2,187.76	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,479.11	Professional		$912.01	$1,202.26	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $4,786.30	Facility		$251.19	$251.19	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,445.44 / $2,290.87	Professional		$251.19	$1,445.44	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $380.19 / $794.33	Facility		$131.83	$380.19	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $794.33 / $3,162.28	Facility		$104.71	$794.33	$3,162.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $933.25	Professional		$371.54	$602.56	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $85.11 / $616.60	Professional		$1.51	$85.11	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $316.23	Professional		$134.90	$245.47	$316.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,258.93 / $3,890.45	Facility		$64.57	$1,258.93	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $251.19 / $251.19	Professional		$89.13	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $389.05 / $616.60	Facility		$58.88	$389.05	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $933.25	Professional		$346.74	$575.44	$933.25