Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $1,659.59	Facility		$562.34	$812.83	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $933.25	Professional		$549.54	$549.54	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,230.27	Facility		$676.08	$676.08	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $707.95	Professional		$549.54	$549.54	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,023.29 / $2,454.71	Facility		$549.54	$1,023.29	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $562.34 / $1,000.00	Professional		$549.54	$562.34	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $630.96	Facility		$575.44	$575.44	$630.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,949.84	Professional		$724.44	$1,148.15	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $794.33	Facility		$602.56	$602.56	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $2,884.03	Professional		$602.56	$676.08	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,737.80	Professional		$549.54	$891.25	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $3,467.37	Facility		$549.54	$549.54	$3,467.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $2,884.03	Professional		$549.54	$758.58	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $870.96	Professional		$660.69	$707.95	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $630.96 / $630.96	Facility		$549.54	$630.96	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $645.65	Professional		$549.54	$575.44	$645.65