Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $17,782.79	Facility		$707.95	$707.95	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,348.96	Professional		$707.95	$1,148.15	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $18,197.01 / $29,512.09	Facility		$12,589.25	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $6,606.93	Professional		$1,148.15	$2,187.76	$6,606.93
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 $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $2,238.72	Facility		$707.95	$1,318.26	$2,238.72
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 $1,412.54 / $2,344.23 / $6,456.54	Professional		$1,412.54	$2,344.23	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $3,801.89	Professional		$1,862.09	$2,691.53	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $15,135.61	Facility		$2,884.03	$2,884.03	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $8,709.64 / $8,709.64	Professional		$1,584.89	$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 $1,230.27 / $2,344.23 / $5,248.07	Professional		$1,230.27	$2,344.23	$5,248.07