Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,019.95	Professional		$1,862.09	$2,511.89	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,888.44 / $5,888.44	Facility		$3,235.94	$5,888.44	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $4,073.80	Professional		$2,570.40	$3,235.94	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $14,125.38	Facility		$2,238.72	$2,398.83	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,897.79 / $6,309.57	Professional		$2,398.83	$4,897.79	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,089.30 / $3,548.13	Facility		$263.03	$2,089.30	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $501.19 / $3,715.35	Facility		$79.43	$501.19	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,951.21	Professional		$1,071.52	$1,737.80	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $93.33 / $1,737.80	Professional		$6.46	$93.33	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $724.44 / $933.25	Professional		$363.08	$724.44	$933.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $2,398.83 / $3,715.35	Facility		$64.57	$2,398.83	$3,715.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $2,398.83 / $2,398.83	Professional		$257.04	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $478.63 / $2,344.23	Facility		$199.53	$478.63	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $3,019.95	Professional		$1,071.52	$1,698.24	$3,019.95