Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $870.96	Professional		$478.63	$537.03	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,737.80	Facility		$1,047.13	$1,047.13	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,148.15	Professional		$870.96	$977.24	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,398.83 / $5,128.61	Facility		$660.69	$2,398.83	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,479.11 / $1,949.84	Professional		$478.63	$1,479.11	$1,949.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $1,288.25	Facility		$501.19	$831.76	$1,288.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,348.96	Professional		$588.84	$1,023.29	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,023.29 / $5,370.32	Facility		$512.86	$1,023.29	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,230.27	Professional		$467.74	$676.08	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $354.81	Professional		$54.95	$70.79	$354.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $3,235.94	Professional		$1,047.13	$1,584.89	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,089.30 / $6,456.54	Facility		$660.69	$2,089.30	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $954.99 / $8,317.64	Professional		$478.63	$954.99	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $1,659.59	Facility		$602.56	$758.58	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $870.96	Professional		$407.38	$512.86	$870.96