Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,905.46	Facility		$512.86	$512.86	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $891.25	Professional		$457.09	$524.81	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,698.24	Facility		$1,023.29	$1,023.29	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,148.15	Professional		$870.96	$954.99	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,398.83 / $5,128.61	Facility		$707.95	$2,398.83	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,479.11 / $1,949.84	Professional		$512.86	$1,479.11	$1,949.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $1,288.25	Facility		$501.19	$831.76	$1,288.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,513.56	Professional		$912.01	$1,230.27	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,023.29 / $4,677.35	Facility		$512.86	$1,023.29	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,122.02	Professional		$446.68	$537.03	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $371.54	Professional		$54.95	$70.79	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,818.38	Professional		$1,023.29	$1,548.82	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,041.74 / $4,677.35	Facility		$707.95	$2,041.74	$4,677.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,047.13 / $5,128.61	Professional		$512.86	$1,047.13	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $1,479.11	Facility		$416.87	$512.86	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $851.14	Professional		$354.81	$501.19	$851.14