Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,041.74	Professional		$1,288.25	$1,737.80	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $4,786.30	Facility		$2,630.27	$4,786.30	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,630.27 / $3,388.44	Professional		$2,454.71	$2,630.27	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $10,715.19	Facility		$1,445.44	$1,905.46	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,235.94 / $5,128.61	Professional		$1,445.44	$3,235.94	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,041.74 / $3,090.30	Facility		$707.95	$2,041.74	$3,090.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $12,022.64	Facility		$707.95	$2,951.21	$12,022.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,570.40	Professional		$1,023.29	$1,479.11	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $54.95 / $2,570.40	Professional		$5.13	$54.95	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $691.83	Professional		$346.74	$501.19	$691.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,248.07 / $12,022.64	Facility		$1,445.44	$5,248.07	$12,022.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,819.70	Professional		$1,230.27	$1,445.44	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $933.25 / $1,737.80	Facility		$104.71	$933.25	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,630.27	Professional		$851.14	$1,288.25	$2,630.27