Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $4,365.16	Professional		$2,818.38	$3,630.78	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,511.38 / $8,511.38	Facility		$4,677.35	$8,511.38	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,677.35 / $5,888.44	Professional		$2,951.21	$4,677.35	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $20,417.38	Facility		$2,691.53	$3,162.28	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $6,165.95 / $9,120.11	Professional		$2,691.53	$6,165.95	$9,120.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,019.95 / $4,786.30	Facility		$363.08	$3,019.95	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,630.78 / $5,370.32	Facility		$288.40	$3,630.78	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $4,466.84	Professional		$1,548.82	$2,454.71	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $251.19 / $2,454.71	Professional		$11.22	$251.19	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,047.13 / $1,348.96	Professional		$524.81	$1,047.13	$1,348.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $5,370.32 / $5,370.32	Facility		$64.57	$5,370.32	$5,370.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $2,691.53 / $3,235.94	Professional		$380.19	$2,691.53	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $707.95 / $3,388.44	Facility		$295.12	$707.95	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $4,466.84	Professional		$1,548.82	$2,454.71	$4,466.84