Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,023.29	Professional		$537.03	$645.65	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,995.26	Facility		$1,230.27	$1,230.27	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,380.38	Professional		$1,023.29	$1,148.15	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $6,025.60	Facility		$741.31	$2,818.38	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,737.80 / $2,290.87	Professional		$537.03	$1,737.80	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $1,513.56	Facility		$602.56	$977.24	$1,513.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,778.28	Professional		$1,096.48	$1,445.44	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,202.26 / $5,623.41	Facility		$602.56	$1,202.26	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $1,348.96	Professional		$524.81	$630.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $346.74	Professional		$54.95	$70.79	$346.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,388.44	Professional		$1,230.27	$1,819.70	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,454.71 / $5,623.41	Facility		$741.31	$2,454.71	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,071.52 / $6,025.60	Professional		$537.03	$1,071.52	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $1,737.80	Facility		$489.78	$602.56	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,023.29	Professional		$416.87	$602.56	$1,023.29