Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $616.60	Professional		$549.54	$549.54	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $549.54	Professional		$154.88	$213.80	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,290.87 / $3,981.07	Facility		$549.54	$2,290.87	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $549.54 / $1,412.54	Professional		$199.53	$549.54	$1,412.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $575.44 / $1,023.29	Facility		$549.54	$575.44	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,884.03 / $4,365.16	Facility		$2,818.38	$2,884.03	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $5,888.44	Professional		$2,818.38	$2,818.38	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $549.54	Professional		$141.25	$302.00	$549.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,818.38 / $8,128.31	Facility		$549.54	$2,818.38	$8,128.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $10,471.29	Professional		$549.54	$575.44	$10,471.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $912.01	Professional		$741.31	$741.31	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $2,691.53	Professional		$125.89	$269.15	$2,691.53