Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $954.99	Professional		$467.74	$588.84	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,819.70	Facility		$1,096.48	$1,096.48	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,230.27	Professional		$933.25	$1,023.29	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,570.40 / $5,495.41	Facility		$602.56	$2,570.40	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,584.89 / $2,089.30	Professional		$446.68	$1,584.89	$2,089.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $891.25 / $1,380.38	Facility		$537.03	$891.25	$1,380.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,621.81	Professional		$1,000.00	$1,318.26	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,096.48 / $5,011.87	Facility		$549.54	$1,096.48	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $1,230.27	Professional		$371.54	$537.03	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $457.09	Professional		$54.95	$70.79	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $3,019.95	Professional		$1,096.48	$1,659.59	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,187.76 / $5,011.87	Facility		$602.56	$2,187.76	$5,011.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,202.26 / $5,495.41	Professional		$446.68	$1,202.26	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $562.34 / $1,584.89	Facility		$446.68	$562.34	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $912.01	Professional		$371.54	$537.03	$912.01