Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,786.30	Professional		$2,511.89	$2,951.21	$4,786.30
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 $5,248.07 / $5,495.41 / $6,606.93	Professional		$5,248.07	$5,495.41	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $12,882.50 / $28,840.32	Facility		$3,715.35	$12,882.50	$28,840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $8,317.64 / $11,220.18	Professional		$2,691.53	$8,317.64	$11,220.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $6,918.31	Facility		$2,884.03	$4,786.30	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $7,079.46	Professional		$5,248.07	$6,165.95	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,754.40 / $26,915.35	Facility		$3,311.31	$5,754.40	$26,915.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $6,606.93	Professional		$2,570.40	$3,715.35	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $6,165.95	Professional		$54.95	$70.79	$6,165.95
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 / $29,512.09	Facility		$3,715.35	$11,748.98	$29,512.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,495.41 / $30,902.95	Professional		$2,691.53	$5,495.41	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $8,317.64	Facility		$3,019.95	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $4,897.79	Professional		$2,137.96	$2,951.21	$4,897.79