Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,288.25	Facility		$426.58	$707.95	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,230.27	Professional		$602.56	$741.31	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,344.23	Facility		$1,445.44	$1,445.44	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,584.89	Professional		$1,230.27	$1,348.96	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,311.31 / $7,079.46	Facility		$912.01	$3,311.31	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,041.74 / $2,691.53	Professional		$660.69	$2,041.74	$2,691.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,096.48 / $1,698.24	Facility		$407.38	$1,096.48	$1,698.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,089.30	Professional		$1,288.25	$1,698.24	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $6,606.93	Facility		$707.95	$1,412.54	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,584.89	Professional		$616.60	$741.31	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $181.97	Professional		$54.95	$70.79	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,981.07	Professional		$1,445.44	$2,137.96	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,884.03 / $6,606.93	Facility		$912.01	$2,884.03	$6,606.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,548.82 / $7,079.46	Professional		$660.69	$1,548.82	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $724.44 / $2,041.74	Facility		$575.44	$724.44	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,202.26	Professional		$489.78	$707.95	$1,202.26