Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,348.96	Professional		$645.65	$912.01	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,019.95	Facility		$1,862.09	$1,862.09	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $2,041.74	Professional		$1,548.82	$1,737.80	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,265.80 / $9,120.11	Facility		$1,230.27	$4,265.80	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,630.27 / $3,467.37	Professional		$891.25	$2,630.27	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,479.11 / $2,290.87	Facility		$831.76	$1,479.11	$2,290.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,187.76	Professional		$1,047.13	$1,698.24	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,819.70 / $7,762.47	Facility		$912.01	$1,819.70	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,041.74	Professional		$741.31	$1,096.48	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,047.13	Professional		$54.95	$70.79	$1,047.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $4,677.35	Professional		$1,862.09	$2,754.23	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,715.35 / $8,128.31	Facility		$1,230.27	$3,715.35	$8,128.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,819.70 / $8,317.64	Professional		$891.25	$1,819.70	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,398.83	Facility		$851.14	$1,122.02	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,513.56	Professional		$616.60	$912.01	$1,513.56