Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,162.28 / $4,168.69	Professional		$1,995.26	$3,162.28	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $8,912.51	Facility		$5,495.41	$5,495.41	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,011.87 / $6,025.60	Professional		$4,570.88	$5,011.87	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $16,595.87 / $26,302.68	Facility		$14,125.38	$16,595.87	$26,302.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $6,606.93 / $8,128.31	Professional		$251.19	$6,606.93	$8,128.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,479.11 / $5,248.07	Facility		$436.52	$1,479.11	$5,248.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $537.03	Professional		$309.03	$489.78	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $794.33 / $5,248.07	Facility		$323.59	$794.33	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $2,089.30	Professional		$239.88	$309.03	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $58.88 / $436.52	Professional		$10.96	$58.88	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,479.11	Professional		$588.84	$1,047.13	$1,479.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $5,248.07	Facility		$64.57	$64.57	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $389.05	Professional		$251.19	$251.19	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $776.25 / $3,388.44	Facility		$208.93	$776.25	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $2,691.53	Professional		$229.09	$288.40	$2,691.53