Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $17,782.79	Facility		$1,148.15	$1,148.15	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,041.74	Professional		$1,148.15	$1,621.81	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $17,378.01 / $29,512.09	Facility		$11,220.18	$17,378.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $6,456.54	Professional		$1,819.70	$2,570.40	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,715.35 / $3,715.35	Professional		$3,311.31	$3,715.35	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $3,890.45	Facility		$1,148.15	$1,949.84	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $13,803.84 / $28,840.32	Facility		$1,905.46	$13,803.84	$28,840.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $13,803.84	Professional		$1,905.46	$3,548.13	$13,803.84
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 $1,862.09 / $3,890.45 / $5,623.41	Professional		$1,862.09	$3,890.45	$5,623.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $23,988.33 / $23,988.33	Facility		$13,489.63	$23,988.33	$23,988.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $12,882.50 / $12,882.50	Professional		$4,466.84	$12,882.50	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $22,387.21 / $30,199.52	Facility		$13,803.84	$22,387.21	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $7,943.28	Professional		$1,778.28	$3,019.95	$7,943.28