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 $478.63 / $676.08 / $977.24	Professional		$478.63	$676.08	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Facility		$1,380.38	$1,380.38	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,513.56	Professional		$1,148.15	$1,288.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,162.28 / $6,760.83	Facility		$776.25	$3,162.28	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,949.84 / $2,630.27	Professional		$562.34	$1,949.84	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,698.24	Facility		$575.44	$1,122.02	$1,698.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $1,995.26	Professional		$1,230.27	$1,621.81	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,348.96 / $5,623.41	Facility		$676.08	$1,348.96	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,513.56	Professional		$478.63	$676.08	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $776.25	Professional		$54.95	$70.79	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,311.31	Professional		$1,380.38	$2,089.30	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,754.23 / $6,606.93	Facility		$776.25	$2,754.23	$6,606.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,122.02 / $6,606.93	Professional		$562.34	$1,122.02	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $616.60 / $1,698.24	Facility		$478.63	$616.60	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,122.02	Professional		$446.68	$676.08	$1,122.02