Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $2,884.03	Professional		$1,548.82	$2,344.23	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $6,025.60	Facility		$3,715.35	$3,715.35	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $4,168.69	Professional		$2,344.23	$3,388.44	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $11,220.18 / $17,782.79	Facility		$9,549.93	$11,220.18	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $6,309.57	Professional		$4,168.69	$5,128.61	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,398.83 / $4,365.16	Facility		$354.81	$2,398.83	$4,365.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,630.27 / $18,197.01	Facility		$354.81	$2,630.27	$18,197.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,691.53	Professional		$1,318.26	$1,778.28	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $169.82 / $3,311.31	Professional		$5.01	$169.82	$3,311.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $812.83 / $1,148.15	Professional		$446.68	$812.83	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,456.54 / $19,054.61	Facility		$2,238.72	$6,456.54	$19,054.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $2,818.38	Professional		$288.40	$288.40	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,380.38 / $2,691.53	Facility		$165.96	$1,380.38	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $3,311.31	Professional		$1,318.26	$1,698.24	$3,311.31