Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $17,782.79	Facility		$512.86	$512.86	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $562.34	Professional		$512.86	$512.86	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $2,454.71	Professional		$1,258.93	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,344.23	Facility		$1,258.93	$1,479.11	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,288.25	Professional		$812.83	$1,000.00	$1,288.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,365.16 / $7,762.47	Facility		$602.56	$4,365.16	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $10,000.00 / $15,848.93	Facility		$602.56	$10,000.00	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $489.78	Professional		$32.36	$50.12	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United 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