Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,584.89	Professional		$794.33	$954.99	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,090.30	Facility		$1,862.09	$1,862.09	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,089.30	Professional		$1,412.54	$1,737.80	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,365.16 / $9,332.54	Facility		$1,023.29	$4,365.16	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,691.53 / $3,548.13	Professional		$758.58	$2,691.53	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,513.56 / $2,344.23	Facility		$912.01	$1,513.56	$2,344.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $2,238.72	Professional		$1,047.13	$1,778.28	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,862.09 / $8,511.38	Facility		$933.25	$1,862.09	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $2,089.30	Professional		$812.83	$977.24	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,202.26	Professional		$54.95	$70.79	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $5,128.61	Professional		$1,862.09	$2,818.38	$5,128.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $8,511.38	Facility		$1,023.29	$3,715.35	$8,511.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,995.26 / $9,332.54	Professional		$758.58	$1,995.26	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $954.99 / $2,691.53	Facility		$758.58	$954.99	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,548.82	Professional		$645.65	$912.01	$1,548.82