Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $954.99	Professional		$562.34	$660.69	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,187.76	Facility		$1,318.26	$1,318.26	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,479.11	Professional		$912.01	$1,230.27	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,019.95 / $6,456.54	Facility		$724.44	$3,019.95	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,862.09 / $2,511.89	Professional		$524.81	$1,862.09	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,548.82	Facility		$660.69	$1,071.52	$1,548.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,584.89	Professional		$1,174.90	$1,288.25	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,288.25 / $6,025.60	Facility		$741.31	$1,288.25	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,479.11	Professional		$575.44	$691.83	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $758.58	Professional		$54.95	$70.79	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $3,630.78	Professional		$1,318.26	$1,995.26	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,630.27 / $6,025.60	Facility		$724.44	$2,630.27	$6,025.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,047.13 / $6,456.54	Professional		$524.81	$1,047.13	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $676.08 / $1,905.46	Facility		$537.03	$676.08	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,096.48	Professional		$457.09	$645.65	$1,096.48