Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $1,659.59	Professional		$1,348.96	$1,380.38	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,019.95 / $5,888.44	Professional		$1,621.81	$3,019.95	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,691.53 / $4,466.84	Facility		$1,445.44	$2,691.53	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,162.28	Professional		$1,023.29	$1,445.44	$3,162.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,995.26	Facility		$1,348.96	$1,412.54	$1,995.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,238.72	Professional		$1,659.59	$2,089.30	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,995.26	Facility		$1,348.96	$1,412.54	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $10,232.93	Professional		$1,659.59	$1,659.59	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,265.80 / $5,495.41	Professional		$2,137.96	$4,265.80	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $10,232.93	Facility		$1,445.44	$1,445.44	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $7,585.78 / $10,232.93	Professional		$1,445.44	$7,585.78	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,290.87	Professional		$1,659.59	$1,659.59	$2,290.87