Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,235.94	Professional		$1,479.11	$1,949.84	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $6,456.54	Facility		$3,890.45	$3,890.45	$6,456.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,630.78 / $4,365.16	Professional		$3,548.13	$3,630.78	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $9,120.11 / $19,054.61	Facility		$2,454.71	$9,120.11	$19,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $5,623.41 / $7,413.10	Professional		$1,819.70	$5,623.41	$7,413.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $4,786.30	Facility		$1,862.09	$3,162.28	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,801.89 / $4,677.35	Professional		$2,187.76	$3,801.89	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $17,782.79	Facility		$1,949.84	$3,801.89	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $4,365.16	Professional		$1,659.59	$2,344.23	$4,365.16
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 $3,890.45 / $5,888.44 / $10,471.29	Professional		$3,890.45	$5,888.44	$10,471.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,762.47 / $20,892.96	Facility		$2,454.71	$7,762.47	$20,892.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $22,908.68	Professional		$1,819.70	$3,630.78	$22,908.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $5,370.32	Facility		$1,949.84	$2,511.89	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,235.94	Professional		$1,380.38	$1,905.46	$3,235.94