Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $1,737.80	Professional		$1,659.59	$1,698.24	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,089.30	Facility		$1,698.24	$1,995.26	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $4,897.79	Professional		$1,548.82	$1,698.24	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $912.01 / $1,737.80	Facility		$446.68	$912.01	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $3,019.95	Professional		$1,737.80	$2,630.27	$3,019.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,041.74	Facility		$1,445.44	$1,659.59	$2,041.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,659.59	Professional		$1,548.82	$1,548.82	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,737.80 / $3,388.44	Facility		$794.33	$1,737.80	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $7,762.47	Professional		$1,698.24	$1,698.24	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $457.09	Professional		$50.12	$64.57	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $3,801.89 / $5,623.41	Professional		$56.23	$3,801.89	$5,623.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $6,165.95	Facility		$1,737.80	$1,737.80	$6,165.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $9,332.54	Professional		$1,737.80	$2,187.76	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $933.25	Facility		$794.33	$794.33	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,344.23	Professional		$1,698.24	$1,698.24	$2,344.23