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 $616.60 / $707.95 / $1,174.90	Professional		$616.60	$707.95	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,238.72	Facility		$1,348.96	$1,348.96	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,513.56	Professional		$1,023.29	$1,258.93	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,090.30 / $6,606.93	Facility		$831.76	$3,090.30	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,905.46 / $2,570.40	Professional		$602.56	$1,905.46	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,659.59	Facility		$676.08	$1,096.48	$1,659.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,137.96	Professional		$1,202.26	$1,737.80	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,318.26 / $7,079.46	Facility		$676.08	$1,318.26	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,584.89	Professional		$602.56	$776.25	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $851.14	Professional		$54.95	$70.79	$851.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $4,168.69	Professional		$1,348.96	$2,041.74	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,202.26 / $13,182.57	Professional		$602.56	$1,202.26	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $2,137.96	Facility		$602.56	$776.25	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,148.15	Professional		$512.86	$660.69	$1,148.15