Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,174.90	Professional		$630.96	$724.44	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,238.72	Facility		$1,380.38	$1,380.38	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,513.56	Professional		$1,071.52	$1,258.93	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,162.28 / $6,760.83	Facility		$831.76	$3,162.28	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,949.84 / $2,570.40	Professional		$616.60	$1,949.84	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,698.24	Facility		$676.08	$1,096.48	$1,698.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $2,511.89	Professional		$1,230.27	$1,995.26	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,348.96 / $7,079.46	Facility		$691.83	$1,348.96	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,621.81	Professional		$616.60	$794.33	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $691.83	Professional		$54.95	$70.79	$691.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $4,168.69	Professional		$1,380.38	$2,041.74	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,511.38	Facility		$831.76	$2,691.53	$8,511.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,230.27 / $11,220.18	Professional		$616.60	$1,230.27	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $2,187.76	Facility		$616.60	$794.33	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,148.15	Professional		$524.81	$676.08	$1,148.15