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 $1,202.26 / $1,621.81 / $2,511.89	Professional		$1,202.26	$1,621.81	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $5,011.87	Facility		$3,090.30	$3,090.30	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,467.37	Professional		$2,187.76	$2,884.03	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,079.46 / $15,135.61	Facility		$1,698.24	$7,079.46	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $4,365.16 / $5,754.40	Professional		$1,258.93	$4,365.16	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,801.89	Facility		$1,479.11	$2,454.71	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $4,786.30	Professional		$2,754.23	$3,801.89	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,019.95 / $14,454.40	Facility		$1,513.56	$3,019.95	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $3,630.78	Professional		$1,380.38	$1,819.70	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,737.80	Professional		$54.95	$70.79	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,511.38	Professional		$3,090.30	$4,570.88	$8,511.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,165.95 / $17,378.01	Facility		$1,698.24	$6,165.95	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,511.89 / $17,782.79	Professional		$1,258.93	$2,511.89	$17,782.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $4,466.84	Facility		$1,621.81	$2,041.74	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,570.40	Professional		$1,148.15	$1,698.24	$2,570.40