Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $912.01	Professional		$602.56	$758.58	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $2,089.30	Facility		$1,148.15	$2,089.30	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,445.44	Professional		$912.01	$1,148.15	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $5,754.40	Facility		$537.03	$537.03	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,412.54 / $2,238.72	Professional		$457.09	$1,412.54	$2,238.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $1,348.96	Facility		$758.58	$933.25	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,348.96 / $5,754.40	Facility		$758.58	$1,348.96	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,096.48	Professional		$501.19	$660.69	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $223.87	Professional		$50.12	$64.57	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $371.54	Professional		$154.88	$269.15	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $2,290.87 / $5,754.40	Facility		$64.57	$2,290.87	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $562.34	Professional		$398.11	$537.03	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $489.78 / $851.14	Facility		$56.23	$489.78	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,202.26	Professional		$436.52	$645.65	$1,202.26