Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,819.70	Professional		$831.76	$1,230.27	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,073.80	Facility		$2,454.71	$2,454.71	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,754.23	Professional		$2,089.30	$2,290.87	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,623.41 / $12,022.64	Facility		$1,174.90	$5,623.41	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $3,467.37 / $4,677.35	Professional		$851.14	$3,467.37	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $3,019.95	Facility		$1,047.13	$1,995.26	$3,019.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $2,951.21	Professional		$1,380.38	$2,187.76	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $9,772.37	Facility		$1,230.27	$2,398.83	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,754.23	Professional		$933.25	$1,412.54	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,513.56	Professional		$54.95	$70.79	$1,513.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,715.35 / $5,888.44	Professional		$2,454.71	$3,715.35	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,897.79 / $10,000.00	Facility		$1,174.90	$4,897.79	$10,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,698.24 / $12,302.69	Professional		$851.14	$1,698.24	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,412.54 / $3,019.95	Facility		$741.31	$1,412.54	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,995.26	Professional		$812.83	$1,202.26	$1,995.26