Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,584.89	Professional		$954.99	$1,318.26	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,388.44 / $3,388.44	Facility		$1,862.09	$3,388.44	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,398.83	Professional		$1,479.11	$1,862.09	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $7,585.78	Facility		$1,230.27	$1,621.81	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $3,548.13	Professional		$1,230.27	$2,290.87	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,344.23	Facility		$1,318.26	$1,819.70	$2,344.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $8,709.64	Facility		$1,318.26	$2,187.76	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,187.76	Professional		$912.01	$1,230.27	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $54.95 / $1,380.38	Professional		$3.39	$54.95	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $575.44	Professional		$245.47	$426.58	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,630.78 / $8,709.64	Facility		$1,230.27	$3,630.78	$8,709.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,584.89	Professional		$1,230.27	$1,230.27	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $831.76 / $1,348.96	Facility		$107.15	$831.76	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $2,290.87	Professional		$741.31	$1,174.90	$2,290.87