Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $3,388.44	Professional		$1,621.81	$2,041.74	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $6,918.31	Facility		$4,168.69	$4,168.69	$6,918.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,890.45 / $4,570.88	Professional		$3,548.13	$3,890.45	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $9,549.93 / $20,417.38	Facility		$2,630.27	$9,549.93	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $5,888.44 / $7,943.28	Professional		$1,905.46	$5,888.44	$7,943.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,388.44 / $5,128.61	Facility		$1,862.09	$3,388.44	$5,128.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $5,011.87	Professional		$2,344.23	$4,073.80	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,073.80 / $17,378.01	Facility		$2,041.74	$4,073.80	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $4,570.88	Professional		$1,659.59	$2,454.71	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $2,238.72	Professional		$54.95	$70.79	$2,238.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $10,471.29	Professional		$4,168.69	$6,309.57	$10,471.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $20,892.96	Facility		$2,630.27	$8,317.64	$20,892.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,890.45 / $21,379.62	Professional		$1,905.46	$3,890.45	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $5,370.32	Facility		$1,862.09	$2,511.89	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $3,388.44	Professional		$1,380.38	$2,041.74	$3,388.44