Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,174.90	Professional		$676.08	$912.01	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $1,995.26	Facility		$1,096.48	$1,995.26	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,380.38	Professional		$851.14	$1,096.48	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $977.24 / $4,073.80	Facility		$812.83	$977.24	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $2,089.30	Professional		$812.83	$1,230.27	$2,089.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $933.25 / $1,348.96	Facility		$107.15	$933.25	$1,348.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,122.02 / $4,897.79	Facility		$120.23	$1,122.02	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,071.52	Professional		$457.09	$645.65	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $69.18 / $831.76	Professional		$1.70	$69.18	$831.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $281.84	Professional		$123.03	$218.78	$281.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,511.89 / $5,128.61	Facility		$812.83	$2,511.89	$5,128.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $812.83 / $831.76	Professional		$93.33	$812.83	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $501.19 / $794.33	Facility		$70.79	$501.19	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,047.13	Professional		$436.52	$602.56	$1,047.13