Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $1,023.29	Professional		$588.84	$676.08	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,995.26	Facility		$1,202.26	$1,202.26	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,348.96	Professional		$1,000.00	$1,122.02	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,754.23 / $5,888.44	Facility		$741.31	$2,754.23	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,698.24 / $2,290.87	Professional		$537.03	$1,698.24	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $1,479.11	Facility		$588.84	$977.24	$1,479.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,187.76	Professional		$1,071.52	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,174.90 / $6,309.57	Facility		$602.56	$1,174.90	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,412.54	Professional		$537.03	$691.83	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $371.54	Professional		$54.95	$70.79	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $3,715.35	Professional		$1,202.26	$1,819.70	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,398.83 / $7,413.10	Facility		$741.31	$2,398.83	$7,413.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,071.52 / $10,232.93	Professional		$537.03	$1,071.52	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $1,905.46	Facility		$549.54	$691.83	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,000.00	Professional		$457.09	$588.84	$1,000.00