Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,570.40	Professional		$1,230.27	$1,513.56	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $5,128.61	Facility		$3,090.30	$3,090.30	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,388.44	Professional		$2,884.03	$2,884.03	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,079.46 / $15,135.61	Facility		$1,548.82	$7,079.46	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $4,365.16 / $5,888.44	Professional		$1,122.02	$4,365.16	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $3,801.89	Facility		$1,380.38	$2,511.89	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $3,715.35	Professional		$1,737.80	$2,951.21	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $13,489.63	Facility		$1,548.82	$3,019.95	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,467.37	Professional		$1,230.27	$1,819.70	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,202.26	Professional		$54.95	$70.79	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,677.35 / $7,762.47	Professional		$3,090.30	$4,677.35	$7,762.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $6,165.95 / $14,125.38	Facility		$1,548.82	$6,165.95	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $15,848.93	Professional		$1,122.02	$2,290.87	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $4,073.80	Facility		$1,479.11	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,570.40	Professional		$1,023.29	$1,584.89	$2,570.40