Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $501.19 / $707.95	Professional		$489.78	$501.19	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,202.26	Facility		$1,000.00	$1,148.15	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $616.60 / $1,230.27	Facility		$512.86	$616.60	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $645.65	Professional		$512.86	$575.44	$645.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $537.03 / $616.60	Facility		$489.78	$537.03	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $537.03 / $616.60	Facility		$489.78	$537.03	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $660.69	Professional		$512.86	$512.86	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Professional		$50.12	$50.12	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $2,691.53	Facility		$524.81	$616.60	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $691.83	Professional		$512.86	$512.86	$691.83