Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $812.83	Professional		$524.81	$691.83	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $1,949.84	Facility		$1,071.52	$1,949.84	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,318.26	Professional		$776.25	$1,071.52	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $5,248.07	Facility		$2,344.23	$2,344.23	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,344.23	Professional		$1,202.26	$1,513.56	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $104.71 / $977.24	Facility		$64.57	$104.71	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $977.24 / $4,677.35	Facility		$83.18	$977.24	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $794.33	Professional		$363.08	$489.78	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $61.66 / $741.31	Professional		$2.04	$61.66	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $263.03	Professional		$120.23	$204.17	$263.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $4,786.30	Facility		$1,659.59	$2,344.23	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $2,344.23 / $2,344.23	Professional		$74.13	$2,344.23	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $363.08 / $691.83	Facility		$41.69	$363.08	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $891.25	Professional		$346.74	$489.78	$891.25