Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $4,365.16	Professional		$1,905.46	$2,630.27	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $8,709.64	Facility		$5,248.07	$5,248.07	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,897.79 / $5,888.44	Professional		$4,365.16	$4,897.79	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $12,022.64 / $25,703.96	Facility		$3,235.94	$12,022.64	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $7,413.10 / $10,000.00	Professional		$2,398.83	$7,413.10	$10,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $6,456.54	Facility		$2,344.23	$4,265.80	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,128.61 / $6,309.57	Professional		$2,951.21	$5,128.61	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,128.61 / $22,387.21	Facility		$2,630.27	$5,128.61	$22,387.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $5,888.44	Professional		$2,089.30	$3,090.30	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $2,818.38	Professional		$54.95	$70.79	$2,818.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,943.28 / $13,182.57	Professional		$5,248.07	$7,943.28	$13,182.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $10,471.29 / $26,915.35	Facility		$3,235.94	$10,471.29	$26,915.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,786.30 / $27,542.29	Professional		$2,398.83	$4,786.30	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,162.28 / $6,918.31	Facility		$1,995.26	$3,162.28	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $4,265.80	Professional		$1,737.80	$2,570.40	$4,265.80