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 $602.56 / $794.33 / $1,148.15	Professional		$602.56	$794.33	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,630.27	Facility		$1,584.89	$1,584.89	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,778.28	Professional		$1,318.26	$1,479.11	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,630.78 / $7,762.47	Facility		$1,023.29	$3,630.78	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,238.72 / $3,019.95	Professional		$741.31	$2,238.72	$3,019.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,288.25 / $1,949.84	Facility		$707.95	$1,288.25	$1,949.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,570.40	Professional		$1,412.54	$2,041.74	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,548.82 / $6,606.93	Facility		$794.33	$1,548.82	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,778.28	Professional		$630.96	$776.25	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $281.84	Professional		$54.95	$70.79	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $3,981.07	Professional		$1,584.89	$2,398.83	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,162.28 / $6,760.83	Facility		$1,023.29	$3,162.28	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,584.89 / $7,244.36	Professional		$741.31	$1,584.89	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $707.95 / $2,041.74	Facility		$588.84	$707.95	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,288.25	Professional		$524.81	$776.25	$1,288.25