Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $741.31 / $891.25	Professional		$724.44	$741.31	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $758.58 / $977.24	Professional		$331.13	$758.58	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,698.24 / $2,951.21	Facility		$758.58	$1,698.24	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,630.27	Professional		$758.58	$1,023.29	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $741.31 / $1,000.00	Facility		$691.83	$741.31	$1,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $758.58 / $1,096.48	Facility		$691.83	$758.58	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,388.44	Professional		$1,995.26	$1,995.26	$3,388.44
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 $758.58 / $758.58 / $2,691.53	Facility		$758.58	$758.58	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $4,073.80	Professional		$758.58	$758.58	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,513.56	Professional		$812.83	$1,230.27	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,089.30	Professional		$1,995.26	$1,995.26	$2,089.30