Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $1,778.28	Facility		$602.56	$891.25	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,000.00	Professional		$588.84	$588.84	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,318.26	Facility		$741.31	$741.31	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $741.31	Professional		$588.84	$588.84	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,202.26 / $2,089.30	Facility		$588.84	$1,202.26	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,096.48	Professional		$588.84	$741.31	$1,096.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $588.84 / $1,318.26	Facility		$389.05	$588.84	$1,318.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $1,174.90 / $1,174.90	Professional		$70.79	$1,174.90	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $1,380.38	Facility		$389.05	$575.44	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $933.25	Professional		$575.44	$575.44	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $1,778.28	Professional		$588.84	$645.65	$1,778.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $2,951.21	Facility		$588.84	$588.84	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $933.25	Professional		$524.81	$758.58	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $588.84	Facility		$575.44	$575.44	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $812.83	Professional		$588.84	$588.84	$812.83