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 / $630.96 / $1,096.48	Professional		$537.03	$630.96	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,041.74	Facility		$1,230.27	$1,230.27	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,380.38	Professional		$1,047.13	$1,148.15	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,818.38 / $6,025.60	Facility		$707.95	$2,818.38	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,737.80 / $2,344.23	Professional		$524.81	$1,737.80	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,513.56	Facility		$602.56	$1,000.00	$1,513.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,819.70	Professional		$1,096.48	$1,479.11	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,202.26 / $5,754.40	Facility		$602.56	$1,202.26	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,380.38	Professional		$537.03	$645.65	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $812.83	Professional		$54.95	$70.79	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $3,388.44	Professional		$1,230.27	$1,862.09	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $6,760.83	Facility		$707.95	$2,454.71	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,318.26 / $8,912.51	Professional		$524.81	$1,318.26	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $616.60 / $1,778.28	Facility		$501.19	$616.60	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,023.29	Professional		$416.87	$602.56	$1,023.29