Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $1,995.26	Professional		$1,122.02	$1,288.25	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $4,073.80	Facility		$2,511.89	$2,511.89	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $2,818.38	Professional		$2,137.96	$2,344.23	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,754.40 / $12,302.69	Facility		$1,513.56	$5,754.40	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,548.13 / $4,677.35	Professional		$1,096.48	$3,548.13	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $3,090.30	Facility		$1,230.27	$1,995.26	$3,090.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $3,019.95	Professional		$1,412.54	$2,454.71	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $12,022.64	Facility		$1,258.93	$2,454.71	$12,022.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,884.03	Professional		$1,096.48	$1,348.96	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,202.26	Professional		$54.95	$70.79	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $7,244.36	Professional		$2,511.89	$3,715.35	$7,244.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,011.87 / $14,454.40	Facility		$1,513.56	$5,011.87	$14,454.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $16,595.87	Professional		$1,096.48	$2,187.76	$16,595.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $3,715.35	Facility		$1,047.13	$1,348.96	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,089.30	Professional		$891.25	$1,230.27	$2,089.30