Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $17,782.79	Facility		$1,288.25	$1,288.25	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $2,691.53	Professional		$1,348.96	$2,089.30	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $7,413.10	Professional		$2,089.30	$2,951.21	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,265.80 / $4,265.80	Professional		$3,801.89	$4,265.80	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $4,168.69	Facility		$1,288.25	$2,137.96	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $15,135.61	Facility		$1,819.70	$4,168.69	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $15,848.93	Professional		$1,513.56	$3,467.37	$15,848.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,128.61 / $7,079.46	Professional		$2,884.03	$5,128.61	$7,079.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $21,877.62	Facility		$5,370.32	$5,370.32	$21,877.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $10,715.19 / $15,488.17	Professional		$9,772.37	$10,715.19	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,162.28 / $9,120.11	Professional		$1,513.56	$3,162.28	$9,120.11