Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $2,818.38	Professional		$1,318.26	$2,187.76	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,801.89	Facility		$2,290.87	$2,290.87	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $2,570.40	Professional		$1,737.80	$2,137.96	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $7,762.47 / $12,589.25	Facility		$6,760.83	$7,762.47	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $3,890.45	Professional		$2,884.03	$3,548.13	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,041.74 / $3,801.89	Facility		$223.87	$2,041.74	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,137.96 / $9,549.93	Facility		$223.87	$2,137.96	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $302.00 / $1,905.46	Professional		$144.54	$302.00	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $151.36 / $1,737.80	Professional		$4.37	$151.36	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $588.84	Professional		$229.09	$426.58	$588.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $4,677.35 / $9,772.37	Facility		$64.57	$4,677.35	$9,772.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $1,479.11	Professional		$190.55	$190.55	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $288.40 / $2,344.23	Facility		$138.04	$288.40	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $660.69 / $2,951.21	Professional		$162.18	$660.69	$2,951.21