Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,862.09	Professional		$954.99	$1,096.48	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,715.35	Facility		$2,238.72	$2,238.72	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,511.89	Professional		$1,548.82	$2,089.30	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,128.61 / $10,964.78	Facility		$1,230.27	$5,128.61	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $3,162.28 / $4,265.80	Professional		$891.25	$3,162.28	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,754.23	Facility		$1,096.48	$1,819.70	$2,754.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,388.44	Professional		$1,995.26	$2,691.53	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $10,232.93	Facility		$1,096.48	$2,187.76	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,454.71	Professional		$977.24	$1,318.26	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,388.44 / $6,165.95	Professional		$2,238.72	$3,388.44	$6,165.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,466.84 / $10,232.93	Facility		$1,230.27	$4,466.84	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,778.28 / $10,964.78	Professional		$891.25	$1,778.28	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $3,162.28	Facility		$1,148.15	$1,479.11	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,862.09	Professional		$812.83	$1,096.48	$1,862.09