Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $4,073.80	Professional		$2,041.74	$2,344.23	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $7,762.47	Facility		$4,677.35	$4,677.35	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $5,248.07	Professional		$3,548.13	$4,365.16	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $10,715.19 / $22,908.68	Facility		$2,754.23	$10,715.19	$22,908.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $6,606.93 / $8,912.51	Professional		$2,041.74	$6,606.93	$8,912.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $5,754.40	Facility		$2,290.87	$3,801.89	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,456.54 / $8,128.31	Professional		$4,168.69	$6,456.54	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $23,442.29	Facility		$2,290.87	$4,570.88	$23,442.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $5,495.41	Professional		$2,137.96	$2,951.21	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $3,090.30	Professional		$54.95	$70.79	$3,090.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $7,079.46 / $14,125.38	Professional		$4,677.35	$7,079.46	$14,125.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $9,332.54 / $23,988.33	Facility		$2,754.23	$9,332.54	$23,988.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,073.80 / $29,512.09	Professional		$2,041.74	$4,073.80	$29,512.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $7,244.36	Facility		$2,454.71	$3,311.31	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,890.45	Professional		$1,862.09	$2,454.71	$3,890.45