Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,174.90	Professional		$812.83	$1,174.90	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,235.94 / $3,235.94	Facility		$1,778.28	$3,235.94	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,778.28 / $2,238.72	Professional		$851.14	$1,778.28	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,370.32 / $8,912.51	Facility		$4,786.30	$5,370.32	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $3,467.37	Professional		$2,041.74	$2,511.89	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $478.63 / $1,659.59	Facility		$177.83	$478.63	$1,659.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,174.90 / $7,943.28	Facility		$177.83	$1,174.90	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,318.26	Professional		$575.44	$776.25	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $1,348.96	Professional		$54.95	$114.82	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $446.68	Professional		$204.17	$346.74	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,818.38 / $8,128.31	Facility		$977.24	$2,818.38	$8,128.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,230.27	Professional		$125.89	$125.89	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $588.84 / $1,174.90	Facility		$70.79	$588.84	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,445.44	Professional		$562.34	$741.31	$1,445.44