Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $977.24	Professional		$489.78	$676.08	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Facility		$1,380.38	$1,380.38	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,513.56	Professional		$1,148.15	$1,288.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,162.28 / $6,760.83	Facility		$954.99	$3,162.28	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,949.84 / $2,630.27	Professional		$691.83	$1,949.84	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,122.02 / $1,698.24	Facility		$616.60	$1,122.02	$1,698.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,659.59	Professional		$776.25	$1,230.27	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,348.96 / $5,754.40	Facility		$676.08	$1,348.96	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,513.56	Professional		$549.54	$812.83	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $794.33	Professional		$54.95	$70.79	$794.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,467.37	Professional		$1,380.38	$2,089.30	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,754.23 / $5,754.40	Facility		$954.99	$2,754.23	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $6,025.60	Professional		$691.83	$1,348.96	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,778.28	Facility		$588.84	$812.83	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,122.02	Professional		$457.09	$676.08	$1,122.02