Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,819.70	Professional		$1,148.15	$1,548.82	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $4,265.80	Facility		$2,344.23	$4,265.80	$4,265.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $2,951.21	Professional		$1,698.24	$2,344.23	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,071.52 / $11,481.54	Facility		$169.82	$1,071.52	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,884.03 / $4,570.88	Professional		$912.01	$2,884.03	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,479.11 / $2,187.76	Facility		$229.09	$1,479.11	$2,187.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,659.59 / $10,471.29	Facility		$251.19	$1,659.59	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,737.80	Professional		$812.83	$1,096.48	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $144.54 / $1,819.70	Professional		$7.76	$144.54	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $588.84	Professional		$269.15	$446.68	$588.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,715.35 / $10,715.19	Facility		$1,071.52	$3,715.35	$10,715.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,071.52 / $1,096.48	Professional		$162.18	$1,071.52	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $831.76 / $1,548.82	Facility		$93.33	$831.76	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,949.84	Professional		$776.25	$1,096.48	$1,949.84