Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $758.58	Professional		$478.63	$645.65	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $1,819.70	Facility		$1,000.00	$1,819.70	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,230.27	Professional		$724.44	$1,000.00	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $3,981.07	Facility		$457.09	$457.09	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,202.26 / $1,905.46	Professional		$457.09	$1,202.26	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $954.99 / $1,148.15	Facility		$269.15	$954.99	$1,148.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $954.99 / $5,011.87	Facility		$269.15	$954.99	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,258.93	Professional		$467.74	$724.44	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $56.23 / $891.25	Professional		$2.95	$56.23	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $281.84	Professional		$109.65	$218.78	$281.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,778.28 / $5,128.61	Facility		$457.09	$1,778.28	$5,128.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $457.09 / $467.74	Professional		$75.86	$457.09	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $467.74 / $794.33	Facility		$57.54	$467.74	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $1,258.93	Professional		$436.52	$691.83	$1,258.93