Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,737.80	Professional		$933.25	$1,122.02	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,715.35	Facility		$2,238.72	$2,238.72	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,511.89	Professional		$1,905.46	$2,089.30	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,128.61 / $10,964.78	Facility		$1,318.26	$5,128.61	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,162.28 / $4,265.80	Professional		$954.99	$3,162.28	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,754.23	Facility		$1,096.48	$1,819.70	$2,754.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $3,467.37	Professional		$1,995.26	$2,754.23	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $10,471.29	Facility		$1,122.02	$2,187.76	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,511.89	Professional		$933.25	$1,174.90	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,479.11	Professional		$54.95	$70.79	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,388.44 / $6,309.57	Professional		$2,238.72	$3,388.44	$6,309.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,466.84 / $11,220.18	Facility		$1,318.26	$4,466.84	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,905.46 / $12,022.64	Professional		$954.99	$1,905.46	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,174.90 / $3,235.94	Facility		$933.25	$1,174.90	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,862.09	Professional		$776.25	$1,096.48	$1,862.09