Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $3,715.35	Professional		$1,949.84	$2,187.76	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $7,413.10	Facility		$4,466.84	$4,466.84	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $4,897.79	Professional		$3,388.44	$4,168.69	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $10,232.93 / $21,877.62	Facility		$2,754.23	$10,232.93	$21,877.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $6,309.57 / $8,511.38	Professional		$1,995.26	$6,309.57	$8,511.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $5,495.41	Facility		$2,187.76	$3,630.78	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,365.16 / $5,370.32	Professional		$2,511.89	$4,365.16	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $20,892.96	Facility		$2,238.72	$4,365.16	$20,892.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $4,897.79	Professional		$1,995.26	$2,691.53	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $2,691.53	Professional		$54.95	$70.79	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,760.83 / $12,589.25	Professional		$4,466.84	$6,760.83	$12,589.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $8,912.51 / $22,908.68	Facility		$2,754.23	$8,912.51	$22,908.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,981.07 / $23,988.33	Professional		$1,995.26	$3,981.07	$23,988.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $6,456.54	Facility		$2,187.76	$2,951.21	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,715.35	Professional		$1,659.59	$2,187.76	$3,715.35