Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $17,782.79	Facility		$1,380.38	$1,380.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $5,011.87	Professional		$1,348.96	$2,089.30	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $28,840.32	Facility		$12,882.50	$17,378.01	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,162.28 / $9,332.54	Professional		$1,318.26	$3,162.28	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,630.27	Professional		$2,344.23	$2,344.23	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,943.28 / $14,454.40	Facility		$2,754.23	$7,943.28	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $12,589.25 / $22,908.68	Facility		$5,888.44	$12,589.25	$22,908.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $7,585.78	Professional		$1,513.56	$2,818.38	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $7,943.28 / $10,964.78	Professional		$3,715.35	$7,943.28	$10,964.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $43,651.58	Facility		$10,471.29	$10,471.29	$43,651.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $38,904.51 / $38,904.51	Professional		$3,019.95	$38,904.51	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $7,244.36	Professional		$1,513.56	$3,388.44	$7,244.36