Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,778.28	Professional		$891.25	$1,071.52	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,467.37	Facility		$2,089.30	$2,089.30	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $2,344.23	Professional		$1,778.28	$1,949.84	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,897.79 / $10,232.93	Facility		$1,348.96	$4,897.79	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,019.95 / $3,981.07	Professional		$977.24	$3,019.95	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $2,630.27	Facility		$1,023.29	$1,698.24	$2,630.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $2,511.89	Professional		$1,174.90	$1,995.26	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $9,549.93	Facility		$1,047.13	$2,041.74	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $2,344.23	Professional		$912.01	$1,096.48	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,348.96	Professional		$54.95	$70.79	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $5,754.40	Professional		$2,089.30	$3,162.28	$5,754.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,168.69 / $9,549.93	Facility		$1,348.96	$4,168.69	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,238.72 / $10,471.29	Professional		$977.24	$2,238.72	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $3,019.95	Facility		$851.14	$1,071.52	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,737.80	Professional		$724.44	$1,023.29	$1,737.80