Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,023.29	Professional		$512.86	$660.69	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,949.84	Facility		$1,174.90	$1,174.90	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,318.26	Professional		$1,047.13	$1,096.48	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,691.53 / $5,754.40	Facility		$812.83	$2,691.53	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,659.59 / $2,238.72	Professional		$588.84	$1,659.59	$2,238.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $1,445.44	Facility		$575.44	$954.99	$1,445.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $1,548.82	Professional		$660.69	$1,148.15	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,148.15 / $6,165.95	Facility		$575.44	$1,148.15	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,380.38	Professional		$537.03	$758.58	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $616.60	Professional		$54.95	$70.79	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $3,630.78	Professional		$1,174.90	$1,778.28	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,344.23 / $7,244.36	Facility		$812.83	$2,344.23	$7,244.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,174.90 / $8,317.64	Professional		$588.84	$1,174.90	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $870.96 / $1,862.09	Facility		$691.83	$870.96	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $977.24	Professional		$478.63	$676.08	$977.24