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 $416.87 / $588.84 / $831.76	Professional		$416.87	$588.84	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,995.26	Facility		$1,202.26	$1,202.26	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,318.26	Professional		$891.25	$1,122.02	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,754.23 / $5,888.44	Facility		$691.83	$2,754.23	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,698.24 / $2,290.87	Professional		$501.19	$1,698.24	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $977.24 / $1,479.11	Facility		$537.03	$977.24	$1,479.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,621.81	Professional		$1,071.52	$1,318.26	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,174.90 / $5,011.87	Facility		$588.84	$1,174.90	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,318.26	Professional		$478.63	$707.95	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $645.65	Professional		$54.95	$70.79	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $3,019.95	Professional		$1,202.26	$1,819.70	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,398.83 / $5,128.61	Facility		$691.83	$2,398.83	$5,128.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,023.29 / $6,309.57	Professional		$501.19	$1,023.29	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $724.44 / $1,548.82	Facility		$426.58	$724.44	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,000.00	Professional		$398.11	$588.84	$1,000.00