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 $501.19 / $588.84 / $912.01	Professional		$501.19	$588.84	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,949.84	Facility		$1,174.90	$1,174.90	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,318.26	Professional		$1,000.00	$1,096.48	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,754.23 / $5,888.44	Facility		$758.58	$2,754.23	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,698.24 / $2,238.72	Professional		$549.54	$1,698.24	$2,238.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $954.99 / $1,479.11	Facility		$537.03	$954.99	$1,479.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,412.54	Professional		$660.69	$1,174.90	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,174.90 / $5,128.61	Facility		$588.84	$1,174.90	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $1,318.26	Professional		$478.63	$575.44	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $831.76	Professional		$54.95	$70.79	$831.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $3,019.95	Professional		$1,174.90	$1,778.28	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,344.23 / $6,165.95	Facility		$758.58	$2,344.23	$6,165.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,096.48 / $6,165.95	Professional		$549.54	$1,096.48	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $575.44 / $1,584.89	Facility		$446.68	$575.44	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $977.24	Professional		$389.05	$575.44	$977.24