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 $954.99 / $2,041.74 / $3,388.44	Professional		$954.99	$2,041.74	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,778.28 / $3,090.30	Facility		$660.69	$1,778.28	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $660.69 / $912.01	Professional		$199.53	$660.69	$912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $676.08 / $1,230.27	Facility		$660.69	$676.08	$1,230.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $741.31 / $1,479.11	Facility		$724.44	$741.31	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,513.56	Professional		$724.44	$724.44	$1,513.56
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 / $302.00 / $812.83	Professional		$141.25	$302.00	$812.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $3,801.89	Facility		$660.69	$851.14	$3,801.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $691.83 / $3,801.89	Professional		$660.69	$691.83	$3,801.89
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 $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $281.84 / $1,000.00	Professional		$125.89	$281.84	$1,000.00