Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $831.76	Professional		$416.87	$524.81	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,584.89	Facility		$954.99	$954.99	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,071.52	Professional		$794.33	$891.25	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,187.76 / $4,677.35	Facility		$588.84	$2,187.76	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,348.96 / $1,819.70	Professional		$426.58	$1,348.96	$1,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $776.25 / $1,174.90	Facility		$457.09	$776.25	$1,174.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $1,737.80	Professional		$851.14	$1,412.54	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $933.25 / $4,786.30	Facility		$467.74	$933.25	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,096.48	Professional		$436.52	$616.60	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $630.96	Professional		$54.95	$70.79	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,951.21	Professional		$954.99	$1,445.44	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,905.46 / $4,786.30	Facility		$588.84	$1,905.46	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $851.14 / $6,165.95	Professional		$426.58	$851.14	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $1,513.56	Facility		$389.05	$707.95	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $794.33	Professional		$389.05	$501.19	$794.33