Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,041.74	Facility		$707.95	$1,023.29	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $912.01	Professional		$691.83	$691.83	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,513.56	Facility		$851.14	$851.14	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $891.25	Professional		$691.83	$691.83	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $2,344.23	Facility		$691.83	$977.24	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $707.95 / $1,258.93	Professional		$691.83	$707.95	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $758.58	Facility		$691.83	$691.83	$758.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,380.38 / $1,380.38	Professional		$707.95	$1,380.38	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $776.25	Facility		$691.83	$691.83	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $2,818.38	Professional		$691.83	$758.58	$2,818.38
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 $691.83 / $1,071.52 / $2,089.30	Professional		$691.83	$1,071.52	$2,089.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $3,467.37	Facility		$691.83	$691.83	$3,467.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $2,884.03	Professional		$691.83	$954.99	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,148.15	Professional		$933.25	$933.25	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $691.83	Facility		$645.65	$645.65	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $776.25	Professional		$691.83	$724.44	$776.25