Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,630.78 / $3,715.35	Professional		$3,548.13	$3,630.78	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $1,737.80	Facility		$1,445.44	$1,659.59	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,801.89 / $3,801.89	Professional		$398.11	$3,801.89	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $794.33 / $3,890.45	Facility		$380.19	$794.33	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $3,890.45	Professional		$724.44	$812.83	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,548.13 / $4,365.16	Facility		$389.05	$3,548.13	$4,365.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $3,548.13 / $3,801.89	Professional		$426.58	$3,548.13	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,548.13 / $4,365.16	Facility		$389.05	$3,548.13	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $16,218.10	Professional		$3,630.78	$3,630.78	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $338.84	Professional		$50.12	$64.57	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $6,309.57 / $9,332.54	Professional		$15.14	$6,309.57	$9,332.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,890.45 / $13,182.57	Facility		$3,715.35	$3,890.45	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $19,952.62	Professional		$3,890.45	$3,890.45	$19,952.62
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $776.25	Facility		$676.08	$676.08	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,128.61	Professional		$3,801.89	$3,801.89	$5,128.61