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 $870.96 / $912.01 / $912.01	Professional		$870.96	$912.01	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $870.96 / $954.99	Professional		$331.13	$870.96	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,698.24 / $2,951.21	Facility		$870.96	$1,698.24	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,511.89	Professional		$831.76	$1,023.29	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,288.25	Facility		$691.83	$912.01	$1,288.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $1,348.96	Facility		$645.65	$912.01	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $870.96 / $1,047.13	Facility		$346.74	$870.96	$1,047.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $977.24	Professional		$870.96	$870.96	$977.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,445.44	Professional		$812.83	$1,174.90	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $912.01	Professional		$870.96	$870.96	$912.01