Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,951.21	Professional		$1,412.54	$1,737.80	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $5,888.44	Facility		$3,548.13	$3,548.13	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,311.31 / $3,981.07	Professional		$2,951.21	$3,311.31	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,128.31 / $17,378.01	Facility		$1,819.70	$8,128.31	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $5,011.87 / $6,760.83	Professional		$1,318.26	$5,011.87	$6,760.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $4,365.16	Facility		$1,621.81	$2,884.03	$4,365.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $4,265.80	Professional		$1,995.26	$3,467.37	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $15,488.17	Facility		$1,737.80	$3,467.37	$15,488.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,890.45	Professional		$1,445.44	$2,089.30	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,621.81	Professional		$54.95	$70.79	$1,621.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,370.32 / $9,120.11	Professional		$3,548.13	$5,370.32	$9,120.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,079.46 / $16,982.44	Facility		$1,819.70	$7,079.46	$16,982.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $19,054.61	Professional		$1,318.26	$2,630.27	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $4,786.30	Facility		$1,737.80	$2,187.76	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,884.03	Professional		$1,202.26	$1,737.80	$2,884.03