Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $17,782.79	Facility		$380.19	$380.19	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $588.84 / $1,023.29	Professional		$173.78	$588.84	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,182.57	Facility		$5,011.87	$8,128.31	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,174.90 / $3,548.13	Professional		$616.60	$1,174.90	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $16,218.10 / $26,302.68	Facility		$14,125.38	$16,218.10	$26,302.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $7,244.36	Professional		$2,511.89	$2,884.03	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $7,943.28 / $14,454.40	Facility		$575.44	$7,943.28	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Professional		$12,589.25	$12,589.25	$12,589.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $11,481.54	Facility		$954.99	$3,801.89	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $8,709.64 / $24,547.09	Professional		$891.25	$8,709.64	$24,547.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $1,513.56 / $13,182.57	Professional		$54.95	$1,513.56	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,621.81	Professional		$724.44	$1,096.48	$1,621.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $5,623.41	Facility		$1,230.27	$1,230.27	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $7,413.10 / $7,413.10	Professional		$2,630.27	$7,413.10	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $8,709.64 / $25,703.96	Professional		$630.96	$8,709.64	$25,703.96