Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $4,365.16	Professional		$2,238.72	$2,691.53	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $8,912.51	Facility		$5,370.32	$5,370.32	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $5,888.44	Professional		$3,801.89	$5,011.87	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $11,748.98 / $26,302.68	Facility		$3,311.31	$11,748.98	$26,302.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $7,585.78 / $10,232.93	Professional		$2,398.83	$7,585.78	$10,232.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $6,309.57	Facility		$2,630.27	$4,365.16	$6,309.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,760.83 / $7,943.28	Professional		$5,248.07	$6,760.83	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,248.07 / $25,118.86	Facility		$3,019.95	$5,248.07	$25,118.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $6,165.95	Professional		$2,511.89	$3,388.44	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $6,456.54	Professional		$54.95	$70.79	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $14,125.38	Professional		$5,370.32	$7,943.28	$14,125.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $10,715.19 / $26,302.68	Facility		$3,311.31	$10,715.19	$26,302.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,897.79 / $28,183.83	Professional		$2,398.83	$4,897.79	$28,183.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $7,413.10	Facility		$2,691.53	$3,388.44	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $4,466.84	Professional		$1,862.09	$2,818.38	$4,466.84