Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $1,819.70	Professional		$870.96	$1,513.56	$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 $977.24 / $977.24 / $9,549.93	Facility		$977.24	$977.24	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,884.03 / $4,570.88	Professional		$977.24	$2,884.03	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,445.44 / $2,137.96	Facility		$229.09	$1,445.44	$2,137.96
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 / $10,232.93	Facility		$251.19	$1,659.59	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,737.80	Professional		$794.33	$1,122.02	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $151.36 / $2,187.76	Professional		$7.59	$151.36	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $588.84	Professional		$263.03	$446.68	$588.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,630.78 / $10,715.19	Facility		$977.24	$3,630.78	$10,715.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $977.24 / $977.24	Professional		$162.18	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $831.76 / $1,513.56	Facility		$93.33	$831.76	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,949.84	Professional		$776.25	$1,071.52	$1,949.84