Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $17,782.79	Facility		$1,096.48	$1,096.48	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $3,019.95	Professional		$1,096.48	$1,778.28	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,791.08 / $16,218.10	Facility		$6,456.54	$14,791.08	$16,218.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,467.37 / $8,128.31	Professional		$1,819.70	$3,467.37	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $19,054.61 / $30,199.52	Facility		$16,218.10	$19,054.61	$30,199.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,585.78 / $8,511.38	Professional		$6,760.83	$7,585.78	$8,511.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $10,232.93	Facility		$1,548.82	$5,495.41	$10,232.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,412.54	Professional		$1,288.25	$1,288.25	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $6,025.60 / $8,709.64	Facility		$1,348.96	$6,025.60	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $8,511.38	Professional		$1,819.70	$3,311.31	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $5,495.41	Professional		$2,041.74	$3,801.89	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $11,481.54	Facility		$3,630.78	$3,630.78	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $11,481.54 / $11,481.54	Professional		$4,677.35	$11,481.54	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $7,943.28	Professional		$1,584.89	$2,818.38	$7,943.28