Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $4,897.79	Professional		$3,162.28	$4,168.69	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,748.98 / $11,748.98	Facility		$6,456.54	$11,748.98	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,456.54 / $8,128.31	Professional		$4,677.35	$6,456.54	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $31,622.78	Facility		$3,467.37	$3,467.37	$31,622.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $7,943.28 / $12,589.25	Professional		$3,467.37	$7,943.28	$12,589.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,248.07 / $7,585.78	Facility		$1,995.26	$5,248.07	$7,585.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,309.57 / $33,113.11	Facility		$1,995.26	$6,309.57	$33,113.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $6,025.60	Professional		$2,630.27	$3,630.78	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $371.54 / $5,011.87	Professional		$54.95	$371.54	$5,011.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,445.44 / $1,905.46	Professional		$724.44	$1,445.44	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $11,748.98 / $34,673.69	Facility		$3,467.37	$11,748.98	$34,673.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $3,467.37 / $3,467.37	Professional		$501.19	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,691.53 / $4,897.79	Facility		$316.23	$2,691.53	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $6,456.54	Professional		$2,454.71	$3,548.13	$6,456.54