Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,584.89	Professional		$851.14	$933.25	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,019.95	Facility		$1,819.70	$1,819.70	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $2,041.74	Professional		$1,548.82	$1,698.24	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,168.69 / $8,912.51	Facility		$1,047.13	$4,168.69	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,570.40 / $3,467.37	Professional		$758.58	$2,570.40	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,137.96	Facility		$891.25	$1,479.11	$2,137.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $2,511.89	Professional		$1,778.28	$2,238.72	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,778.28 / $8,912.51	Facility		$1,023.29	$1,778.28	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,137.96	Professional		$794.33	$977.24	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $933.25	Professional		$54.95	$70.79	$933.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $5,248.07	Professional		$1,819.70	$2,691.53	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,630.78 / $10,471.29	Facility		$1,047.13	$3,630.78	$10,471.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,513.56 / $10,715.19	Professional		$758.58	$1,513.56	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $2,691.53	Facility		$758.58	$977.24	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,513.56	Professional		$645.65	$891.25	$1,513.56