Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,041.74	Professional		$933.25	$1,288.25	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $4,265.80	Facility		$2,570.40	$2,570.40	$4,265.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,398.83 / $2,884.03	Professional		$2,344.23	$2,398.83	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,888.44 / $12,589.25	Facility		$1,621.81	$5,888.44	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $3,630.78 / $4,897.79	Professional		$1,202.26	$3,630.78	$4,897.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $3,162.28	Facility		$1,148.15	$2,089.30	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,511.89 / $3,090.30	Professional		$1,445.44	$2,511.89	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $10,715.19	Facility		$1,288.25	$2,511.89	$10,715.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,884.03	Professional		$1,023.29	$1,513.56	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,202.26	Professional		$54.95	$70.79	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $6,456.54	Professional		$2,570.40	$3,890.45	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,128.61 / $12,882.50	Facility		$1,621.81	$5,128.61	$12,882.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $14,791.08	Professional		$1,202.26	$2,398.83	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $3,311.31	Facility		$1,230.27	$1,548.82	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,089.30	Professional		$851.14	$1,318.26	$2,089.30