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 $1,737.80 / $1,995.26 / $2,089.30	Facility		$1,737.80	$1,995.26	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $5,248.07	Professional		$1,659.59	$1,698.24	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,202.26 / $1,737.80	Facility		$575.44	$1,202.26	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $3,235.94	Professional		$1,737.80	$2,818.38	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $3,715.35	Facility		$1,513.56	$1,737.80	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.51 / $1,698.24	Professional		$2.45	$2.51	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $3,715.35	Facility		$1,047.13	$1,737.80	$3,715.35
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 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $4,466.84 / $6,606.93	Professional		$58.88	$4,466.84	$6,606.93
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 $933.25 / $1,047.13 / $1,047.13	Facility		$933.25	$1,047.13	$1,047.13
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