Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,047.13 / $3,467.37	Facility		$912.01	$1,047.13	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,584.89	Professional		$776.25	$954.99	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,019.95	Facility		$1,819.70	$1,819.70	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $2,041.74	Professional		$1,659.59	$1,698.24	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,168.69 / $8,912.51	Facility		$1,174.90	$4,168.69	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,570.40 / $3,467.37	Professional		$851.14	$2,570.40	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,238.72	Facility		$891.25	$1,479.11	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,691.53	Professional		$1,621.81	$2,187.76	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,778.28 / $8,317.64	Facility		$912.01	$1,778.28	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $2,041.74	Professional		$794.33	$954.99	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $602.56	Professional		$54.95	$70.79	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $5,011.87	Professional		$1,819.70	$2,754.23	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,630.78 / $8,317.64	Facility		$1,174.90	$3,630.78	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,698.24 / $9,120.11	Professional		$851.14	$1,698.24	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $912.01 / $2,630.27	Facility		$741.31	$912.01	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,513.56	Professional		$630.96	$891.25	$1,513.56