Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,365.16	Professional		$2,818.38	$3,715.35	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $9,120.11 / $9,120.11	Facility		$5,011.87	$9,120.11	$9,120.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,011.87 / $6,309.57	Professional		$2,951.21	$5,011.87	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $20,417.38	Facility		$2,630.27	$3,630.78	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $6,918.31 / $9,772.37	Professional		$3,630.78	$6,918.31	$9,772.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $4,897.79	Facility		$2,630.27	$3,715.35	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,715.35 / $5,248.07	Facility		$363.08	$3,715.35	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,570.88	Professional		$1,513.56	$2,454.71	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $380.19 / $3,090.30	Professional		$16.60	$380.19	$3,090.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,122.02 / $1,479.11	Professional		$562.34	$1,122.02	$1,479.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $3,630.78 / $5,248.07	Facility		$64.57	$3,630.78	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $3,630.78 / $3,630.78	Professional		$389.05	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $724.44 / $3,311.31	Facility		$295.12	$724.44	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,570.88	Professional		$1,479.11	$2,398.83	$4,570.88