Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,047.13	Professional		$588.84	$707.95	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,344.23	Facility		$1,412.54	$1,412.54	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $1,584.89	Professional		$1,174.90	$1,318.26	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,235.94 / $6,918.31	Facility		$758.58	$3,235.94	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,995.26 / $2,691.53	Professional		$549.54	$1,995.26	$2,691.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,148.15 / $1,737.80	Facility		$676.08	$1,148.15	$1,737.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,041.74	Professional		$1,258.93	$1,659.59	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $6,309.57	Facility		$691.83	$1,380.38	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,548.82	Professional		$549.54	$724.44	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $812.83	Professional		$54.95	$70.79	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $3,801.89	Professional		$1,412.54	$2,137.96	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,818.38 / $7,079.46	Facility		$758.58	$2,818.38	$7,079.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,096.48 / $7,079.46	Professional		$549.54	$1,096.48	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $707.95 / $1,949.84	Facility		$549.54	$707.95	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,148.15	Professional		$467.74	$691.83	$1,148.15