Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $870.96	Professional		$478.63	$537.03	$870.96
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 $776.25 / $954.99 / $1,122.02	Professional		$776.25	$954.99	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,344.23 / $5,011.87	Facility		$630.96	$2,344.23	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,445.44 / $1,949.84	Professional		$457.09	$1,445.44	$1,949.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $1,258.93	Facility		$501.19	$831.76	$1,258.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $1,698.24	Professional		$912.01	$1,348.96	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,000.00 / $5,370.32	Facility		$512.86	$1,000.00	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,202.26	Professional		$457.09	$588.84	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $489.78	Professional		$54.95	$70.79	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $3,162.28	Professional		$1,023.29	$1,548.82	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $6,309.57	Facility		$630.96	$2,041.74	$6,309.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $912.01 / $10,471.29	Professional		$457.09	$912.01	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $588.84 / $1,621.81	Facility		$467.74	$588.84	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $851.14	Professional		$389.05	$501.19	$851.14