Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $4,897.79	Professional		$2,290.87	$3,090.30	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $9,772.37	Facility		$5,888.44	$5,888.44	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,495.41 / $6,606.93	Professional		$4,897.79	$5,495.41	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $13,489.63 / $28,840.32	Facility		$3,715.35	$13,489.63	$28,840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $8,317.64 / $11,220.18	Professional		$2,754.23	$8,317.64	$11,220.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $7,244.36	Facility		$2,884.03	$4,786.30	$7,244.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,754.40 / $7,079.46	Professional		$3,311.31	$5,754.40	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $27,542.29	Facility		$2,951.21	$5,754.40	$27,542.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $6,918.31	Professional		$2,630.27	$3,548.13	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $3,890.45	Professional		$54.95	$70.79	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $8,912.51 / $16,218.10	Professional		$5,888.44	$8,912.51	$16,218.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $11,748.98 / $33,113.11	Facility		$3,715.35	$11,748.98	$33,113.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,495.41 / $35,481.34	Professional		$2,754.23	$5,495.41	$35,481.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $8,511.38	Facility		$3,090.30	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $4,897.79	Professional		$2,187.76	$3,162.28	$4,897.79