Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $2,238.72	Professional		$1,023.29	$1,862.09	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,248.07 / $5,248.07	Facility		$2,884.03	$5,248.07	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $3,630.78	Professional		$2,089.30	$2,884.03	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,412.54 / $11,748.98	Facility		$213.80	$1,412.54	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $5,623.41	Professional		$1,202.26	$3,548.13	$5,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,862.09 / $3,388.44	Facility		$776.25	$1,862.09	$3,388.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,818.38 / $12,589.25	Facility		$776.25	$2,818.38	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $3,019.95	Professional		$1,202.26	$1,698.24	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $131.83 / $269.15	Professional		$54.95	$131.83	$269.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $724.44	Professional		$323.59	$549.54	$724.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $13,182.57	Facility		$1,412.54	$4,466.84	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $1,412.54 / $1,445.44	Professional		$199.53	$1,412.54	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,174.90 / $1,862.09	Facility		$138.04	$1,174.90	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $3,019.95	Professional		$1,023.29	$1,659.59	$3,019.95