Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,168.69	Professional		$2,951.21	$2,951.21	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,760.83 / $10,000.00	Facility		$3,715.35	$6,760.83	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,466.84	Professional		$2,818.38	$3,715.35	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,162.28 / $3,630.78	Facility		$2,951.21	$3,162.28	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,162.28 / $3,630.78	Facility		$2,951.21	$3,162.28	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,981.07	Professional		$3,019.95	$3,019.95	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Professional		$50.12	$50.12	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $15,135.61 / $15,135.61	Facility		$12,022.64	$15,135.61	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,168.69	Professional		$3,019.95	$3,019.95	$4,168.69