Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $3,981.07	Professional		$2,951.21	$3,981.07	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,964.78 / $10,964.78	Facility		$6,025.60	$10,964.78	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,025.60 / $7,585.78	Professional		$3,801.89	$6,025.60	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $25,118.86	Facility		$3,630.78	$3,630.78	$25,118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $7,244.36 / $11,748.98	Professional		$3,630.78	$7,244.36	$11,748.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,238.72 / $5,623.41	Facility		$501.19	$2,238.72	$5,623.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,981.07 / $26,915.35	Facility		$354.81	$3,981.07	$26,915.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $4,073.80	Professional		$1,548.82	$2,398.83	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $54.95 / $3,548.13	Professional		$7.76	$54.95	$3,548.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $1,513.56	Professional		$691.83	$1,174.90	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $9,549.93 / $27,542.29	Facility		$2,691.53	$9,549.93	$27,542.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $3,630.78 / $3,630.78	Professional		$407.38	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,071.52 / $2,951.21	Facility		$234.42	$1,071.52	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $4,570.88	Professional		$1,513.56	$2,187.76	$4,570.88