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 $676.08 / $758.58 / $1,380.38	Professional		$676.08	$758.58	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,290.87	Facility		$1,412.54	$1,412.54	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,584.89	Professional		$1,071.52	$1,288.25	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,235.94 / $6,918.31	Facility		$851.14	$3,235.94	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,995.26 / $2,630.27	Professional		$630.96	$1,995.26	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,737.80	Facility		$691.83	$1,122.02	$1,737.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $1,819.70	Professional		$794.33	$1,380.38	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,380.38 / $7,413.10	Facility		$707.95	$1,380.38	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,659.59	Professional		$630.96	$812.83	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $436.52	Professional		$54.95	$70.79	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $4,265.80	Professional		$1,412.54	$2,089.30	$4,265.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,709.64	Facility		$851.14	$2,818.38	$8,709.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,258.93 / $13,182.57	Professional		$630.96	$1,258.93	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $812.83 / $2,238.72	Facility		$630.96	$812.83	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,174.90	Professional		$537.03	$691.83	$1,174.90