Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,630.27	Professional		$1,258.93	$1,659.59	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $5,495.41	Facility		$3,388.44	$3,388.44	$5,495.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $3,715.35	Professional		$2,818.38	$3,090.30	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,762.47 / $16,595.87	Facility		$2,137.96	$7,762.47	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,786.30 / $6,309.57	Professional		$1,548.82	$4,786.30	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $4,168.69	Facility		$1,548.82	$2,691.53	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $3,981.07	Professional		$1,862.09	$3,311.31	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,311.31 / $14,454.40	Facility		$1,659.59	$3,311.31	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,715.35	Professional		$1,380.38	$1,995.26	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,584.89	Professional		$54.95	$70.79	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,011.87 / $8,709.64	Professional		$3,388.44	$5,011.87	$8,709.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,606.93 / $17,782.79	Facility		$2,137.96	$6,606.93	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,090.30 / $18,620.87	Professional		$1,548.82	$3,090.30	$18,620.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $4,570.88	Facility		$1,659.59	$2,089.30	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,754.23	Professional		$1,148.15	$1,621.81	$2,754.23