Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $2,754.23	Professional		$1,737.80	$2,398.83	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,025.60 / $6,025.60	Facility		$3,311.31	$6,025.60	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,311.31 / $4,168.69	Professional		$1,905.46	$3,311.31	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $14,125.38	Facility		$2,041.74	$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 $218.78 / $1,737.80 / $2,884.03	Facility		$218.78	$1,737.80	$2,884.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $446.68 / $2,884.03	Facility		$79.43	$446.68	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $2,511.89	Professional		$954.99	$1,479.11	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $165.96 / $1,995.26	Professional		$6.17	$165.96	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $912.01	Professional		$371.54	$707.95	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $2,041.74 / $2,398.83	Facility		$64.57	$2,041.74	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $2,398.83 / $2,398.83	Professional		$251.19	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $446.68 / $2,137.96	Facility		$181.97	$446.68	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $2,818.38	Professional		$891.25	$1,445.44	$2,818.38