Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,630.27	Professional		$1,412.54	$1,698.24	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $5,370.32	Facility		$3,311.31	$3,311.31	$5,370.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $3,630.78	Professional		$2,290.87	$3,090.30	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,585.78 / $16,218.10	Facility		$1,819.70	$7,585.78	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $4,677.35 / $6,165.95	Professional		$1,318.26	$4,677.35	$6,165.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $4,073.80	Facility		$1,621.81	$2,630.27	$4,073.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $4,897.79	Professional		$2,951.21	$3,890.45	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $15,135.61	Facility		$1,621.81	$3,235.94	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $3,630.78	Professional		$1,445.44	$1,737.80	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,995.26	Professional		$54.95	$70.79	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $9,120.11	Professional		$3,311.31	$4,897.79	$9,120.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $6,606.93 / $18,197.01	Facility		$1,819.70	$6,606.93	$18,197.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $19,498.45	Professional		$1,318.26	$2,630.27	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $4,786.30	Facility		$1,348.96	$1,698.24	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,754.23	Professional		$1,148.15	$1,621.81	$2,754.23