Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $17,782.79	Facility		$794.33	$794.33	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $2,089.30	Professional		$794.33	$1,288.25	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $30,199.52	Facility		$12,882.50	$18,197.01	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $9,549.93	Professional		$1,737.80	$2,630.27	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Facility		$18,620.87	$18,620.87	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,630.78	Professional		$3,162.28	$3,162.28	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,943.28 / $14,454.40	Facility		$1,230.27	$7,943.28	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $9,549.93	Facility		$1,698.24	$3,548.13	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $9,549.93	Professional		$2,137.96	$3,548.13	$9,549.93
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 $1,621.81 / $2,398.83 / $3,548.13	Professional		$1,621.81	$2,398.83	$3,548.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $13,489.63	Facility		$2,691.53	$2,691.53	$13,489.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $8,709.64 / $8,709.64	Professional		$2,137.96	$8,709.64	$8,709.64
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 $1,445.44 / $3,548.13 / $7,943.28	Professional		$1,445.44	$3,548.13	$7,943.28