Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,148.15	Professional		$776.25	$1,122.02	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,162.28 / $3,162.28	Facility		$1,737.80	$3,162.28	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,737.80 / $2,187.76	Professional		$812.83	$1,737.80	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $7,244.36	Facility		$1,047.13	$1,047.13	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $3,388.44	Professional		$1,047.13	$2,041.74	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $467.74 / $1,584.89	Facility		$144.54	$467.74	$1,584.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $1,122.02 / $7,585.78	Facility		$102.33	$1,122.02	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,288.25	Professional		$549.54	$758.58	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $1,348.96	Professional		$54.95	$97.72	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $436.52	Professional		$194.98	$331.13	$436.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,691.53 / $7,943.28	Facility		$933.25	$2,691.53	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $1,047.13 / $1,047.13	Professional		$120.23	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $575.44 / $1,122.02	Facility		$69.18	$575.44	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,380.38	Professional		$537.03	$707.95	$1,380.38