Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,380.38	Professional		$691.83	$954.99	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,235.94	Facility		$1,949.84	$1,949.84	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $2,187.76	Professional		$1,659.59	$1,819.70	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,570.88 / $9,772.37	Facility		$912.01	$4,570.88	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,818.38 / $3,715.35	Professional		$660.69	$2,818.38	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,584.89 / $2,454.71	Facility		$812.83	$1,584.89	$2,454.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $2,818.38	Professional		$1,621.81	$2,290.87	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,949.84 / $7,585.78	Facility		$977.24	$1,949.84	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,187.76	Professional		$776.25	$1,096.48	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $977.24	Professional		$54.95	$70.79	$977.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $4,570.88	Professional		$1,949.84	$2,951.21	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,890.45 / $7,762.47	Facility		$912.01	$3,890.45	$7,762.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,318.26 / $9,120.11	Professional		$660.69	$1,318.26	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,096.48 / $2,398.83	Facility		$630.96	$1,096.48	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,621.81	Professional		$645.65	$954.99	$1,621.81