Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $3,235.94	Professional		$2,041.74	$2,754.23	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,585.78 / $7,585.78	Facility		$4,168.69	$7,585.78	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $5,248.07	Professional		$3,162.28	$4,168.69	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $20,417.38	Facility		$2,691.53	$2,691.53	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,128.61 / $8,128.31	Professional		$2,691.53	$5,128.61	$8,128.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,073.80 / $4,897.79	Facility		$2,511.89	$4,073.80	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,677.35 / $19,054.61	Facility		$2,511.89	$4,677.35	$19,054.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,890.45	Professional		$1,698.24	$2,398.83	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $54.95 / $3,235.94	Professional		$7.94	$54.95	$3,235.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $1,318.26	Professional		$549.54	$977.24	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,317.64 / $19,498.45	Facility		$2,691.53	$8,317.64	$19,498.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $3,235.94	Professional		$2,290.87	$2,691.53	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,659.59 / $3,090.30	Facility		$199.53	$1,659.59	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $4,365.16	Professional		$1,584.89	$2,290.87	$4,365.16