Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $17,782.79	Facility		$4,466.84	$4,466.84	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $5,888.44	Professional		$3,715.35	$4,466.84	$5,888.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $7,413.10 / $18,620.87	Professional		$3,890.45	$7,413.10	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $12,589.25 / $14,125.38	Professional		$5,495.41	$12,589.25	$14,125.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $14,454.40	Facility		$5,011.87	$7,943.28	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $9,549.93	Facility		$2,570.40	$4,786.30	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $19,498.45	Professional		$4,073.80	$7,413.10	$19,498.45
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 $5,248.07 / $9,549.93 / $14,125.38	Professional		$5,248.07	$9,549.93	$14,125.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $39,810.72	Facility		$10,964.78	$10,964.78	$39,810.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $18,620.87 / $30,902.95	Professional		$5,495.41	$18,620.87	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $19,498.45	Facility		$2,290.87	$5,370.32	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,309.57 / $16,595.87	Professional		$3,801.89	$6,309.57	$16,595.87