Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,388.44	Professional		$2,137.96	$2,884.03	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,309.57 / $6,309.57	Facility		$3,467.37	$6,309.57	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $4,265.80	Professional		$2,089.30	$3,467.37	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $14,125.38	Facility		$2,290.87	$2,691.53	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $6,606.93	Professional		$2,290.87	$4,265.80	$6,606.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,754.23 / $3,630.78	Facility		$331.13	$2,754.23	$3,630.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,884.03 / $4,897.79	Facility		$275.42	$2,884.03	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $3,981.07	Professional		$1,174.90	$2,238.72	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $199.53 / $2,137.96	Professional		$6.76	$199.53	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $954.99	Professional		$389.05	$741.31	$954.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $4,897.79 / $4,897.79	Facility		$64.57	$4,897.79	$4,897.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $2,290.87 / $3,019.95	Professional		$269.15	$2,290.87	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $549.54 / $2,818.38	Facility		$218.78	$549.54	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $3,890.45	Professional		$1,380.38	$2,187.76	$3,890.45