Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $724.44	Professional		$660.69	$660.69	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $5,370.32	Professional		$1,513.56	$2,570.40	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,630.27 / $4,570.88	Facility		$660.69	$2,630.27	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $660.69 / $1,202.26	Professional		$199.53	$660.69	$1,202.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $676.08 / $1,202.26	Facility		$660.69	$676.08	$1,202.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $758.58 / $1,479.11	Facility		$724.44	$758.58	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,737.80	Professional		$724.44	$724.44	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $331.13 / $3,235.94	Professional		$141.25	$331.13	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,479.11 / $4,466.84	Facility		$660.69	$1,479.11	$4,466.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $676.08 / $4,466.84	Professional		$660.69	$676.08	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,096.48	Professional		$891.25	$891.25	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $281.84 / $1,737.80	Professional		$125.89	$281.84	$1,737.80