Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,348.96	Professional		$870.96	$1,148.15	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,162.28 / $3,162.28	Facility		$1,737.80	$3,162.28	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,187.76	Professional		$1,318.26	$1,737.80	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $8,511.38	Facility		$1,122.02	$1,122.02	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $3,388.44	Professional		$1,122.02	$2,137.96	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,041.74	Facility		$1,071.52	$1,698.24	$2,041.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $7,943.28	Facility		$1,071.52	$1,949.84	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,659.59	Professional		$707.95	$1,000.00	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $54.95 / $1,348.96	Professional		$3.31	$54.95	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $549.54	Professional		$229.09	$407.38	$549.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,467.37 / $8,128.31	Facility		$1,122.02	$3,467.37	$8,128.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,348.96	Professional		$954.99	$1,122.02	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $691.83 / $1,288.25	Facility		$83.18	$691.83	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,819.70	Professional		$660.69	$954.99	$1,819.70