Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $933.25	Professional		$512.86	$549.54	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,778.28	Facility		$1,071.52	$1,071.52	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,174.90	Professional		$954.99	$1,000.00	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,454.71 / $5,248.07	Facility		$741.31	$2,454.71	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,513.56 / $2,041.74	Professional		$537.03	$1,513.56	$2,041.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $870.96 / $1,318.26	Facility		$524.81	$870.96	$1,318.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $1,380.38	Professional		$602.56	$1,047.13	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,047.13 / $5,623.41	Facility		$537.03	$1,047.13	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,258.93	Professional		$478.63	$616.60	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $676.08	Professional		$54.95	$70.79	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $3,311.31	Professional		$1,071.52	$1,621.81	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,137.96 / $6,606.93	Facility		$741.31	$2,137.96	$6,606.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,071.52 / $9,332.54	Professional		$537.03	$1,071.52	$9,332.54
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 $407.38 / $524.81 / $912.01	Professional		$407.38	$524.81	$912.01