Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,348.96	Professional		$676.08	$831.76	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,691.53	Facility		$1,621.81	$1,621.81	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,819.70	Professional		$1,122.02	$1,513.56	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $7,943.28	Facility		$1,122.02	$3,715.35	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,290.87 / $3,090.30	Professional		$812.83	$2,290.87	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,318.26 / $1,995.26	Facility		$794.33	$1,318.26	$1,995.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,398.83	Professional		$1,445.44	$1,949.84	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,584.89 / $7,413.10	Facility		$794.33	$1,584.89	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,778.28	Professional		$707.95	$851.14	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,071.52	Professional		$54.95	$70.79	$1,071.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $4,466.84	Professional		$1,621.81	$2,454.71	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,235.94 / $7,413.10	Facility		$1,122.02	$3,235.94	$7,413.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,737.80 / $7,943.28	Professional		$812.83	$1,737.80	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $831.76 / $2,290.87	Facility		$660.69	$831.76	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,348.96	Professional		$549.54	$794.33	$1,348.96