Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $3,388.44	Professional		$2,041.74	$2,818.38	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,606.93 / $6,606.93	Facility		$3,630.78	$6,606.93	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $4,466.84	Professional		$2,884.03	$3,630.78	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $15,848.93	Facility		$2,454.71	$2,691.53	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,495.41 / $6,918.31	Professional		$2,691.53	$5,495.41	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,398.83 / $3,630.78	Facility		$302.00	$2,398.83	$3,630.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $562.34 / $4,265.80	Facility		$79.43	$562.34	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,467.37	Professional		$1,230.27	$1,949.84	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $208.93 / $2,041.74	Professional		$6.31	$208.93	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,023.29	Professional		$398.11	$794.33	$1,023.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $2,691.53 / $4,265.80	Facility		$64.57	$2,691.53	$4,265.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $2,691.53 / $2,691.53	Professional		$288.40	$2,691.53	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $537.03 / $2,691.53	Facility		$218.78	$537.03	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $3,467.37	Professional		$1,202.26	$1,949.84	$3,467.37