Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,041.74	Professional		$1,288.25	$1,737.80	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $4,786.30	Facility		$2,630.27	$4,786.30	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,311.31	Professional		$1,905.46	$2,630.27	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,445.44 / $12,882.50	Facility		$190.55	$1,445.44	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,235.94 / $5,128.61	Professional		$1,230.27	$3,235.94	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,659.59 / $2,454.71	Facility		$257.04	$1,659.59	$2,454.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,862.09 / $11,748.98	Facility		$288.40	$1,862.09	$11,748.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,949.84	Professional		$912.01	$1,230.27	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $128.82 / $1,949.84	Professional		$8.71	$128.82	$1,949.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $660.69	Professional		$302.00	$501.19	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,168.69 / $12,022.64	Facility		$1,445.44	$4,168.69	$12,022.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,445.44 / $1,445.44	Professional		$181.97	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $933.25 / $1,737.80	Facility		$104.71	$933.25	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,187.76	Professional		$870.96	$1,230.27	$2,187.76