Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,162.28	Professional		$1,584.89	$2,089.30	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $6,918.31	Facility		$4,168.69	$4,168.69	$6,918.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,890.45 / $4,677.35	Professional		$3,548.13	$3,890.45	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $9,772.37 / $20,417.38	Facility		$2,137.96	$9,772.37	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $6,025.60 / $7,943.28	Professional		$1,584.89	$6,025.60	$7,943.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $5,248.07	Facility		$1,905.46	$3,388.44	$5,248.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,897.79 / $6,025.60	Professional		$3,715.35	$4,897.79	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,073.80 / $18,197.01	Facility		$2,089.30	$4,073.80	$18,197.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $4,677.35	Professional		$1,737.80	$2,454.71	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $2,398.83	Professional		$54.95	$70.79	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $10,964.78	Professional		$4,168.69	$6,309.57	$10,964.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,317.64 / $18,620.87	Facility		$2,137.96	$8,317.64	$18,620.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $19,498.45	Professional		$1,584.89	$3,162.28	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $5,623.41	Facility		$1,949.84	$2,570.40	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,388.44	Professional		$1,445.44	$2,041.74	$3,388.44