Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,754.23	Professional		$1,348.96	$1,659.59	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $5,623.41	Facility		$3,388.44	$3,388.44	$5,623.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,162.28 / $3,801.89	Professional		$3,019.95	$3,162.28	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,762.47 / $16,595.87	Facility		$2,089.30	$7,762.47	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $4,786.30 / $6,456.54	Professional		$1,513.56	$4,786.30	$6,456.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $4,168.69	Facility		$1,548.82	$2,754.23	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $5,128.61	Professional		$3,019.95	$4,073.80	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,311.31 / $14,454.40	Facility		$1,659.59	$3,311.31	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,715.35	Professional		$1,380.38	$1,995.26	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,862.09	Professional		$54.95	$70.79	$1,862.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,011.87 / $8,709.64	Professional		$3,388.44	$5,011.87	$8,709.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,760.83 / $15,135.61	Facility		$2,089.30	$6,760.83	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,019.95 / $17,378.01	Professional		$1,513.56	$3,019.95	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $4,466.84	Facility		$1,479.11	$2,089.30	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,754.23	Professional		$1,148.15	$1,659.59	$2,754.23