Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $4,168.69	Professional		$2,630.27	$3,467.37	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,772.37 / $9,772.37	Facility		$5,370.32	$9,772.37	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $6,760.83	Professional		$3,890.45	$5,370.32	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $26,302.68	Facility		$3,235.94	$3,235.94	$26,302.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $7,413.10 / $10,471.29	Professional		$3,235.94	$7,413.10	$10,471.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,365.16 / $6,309.57	Facility		$1,698.24	$4,365.16	$6,309.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $27,542.29	Facility		$1,698.24	$5,248.07	$27,542.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $5,011.87	Professional		$2,187.76	$3,019.95	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $309.03 / $2,630.27	Professional		$58.88	$309.03	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,202.26 / $1,584.89	Professional		$602.56	$1,202.26	$1,584.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $9,772.37 / $28,840.32	Facility		$3,235.94	$9,772.37	$28,840.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $3,235.94 / $3,235.94	Professional		$416.87	$3,235.94	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,238.72 / $4,073.80	Facility		$263.03	$2,238.72	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $5,370.32	Professional		$2,041.74	$2,951.21	$5,370.32