Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $4,365.16	Professional		$1,995.26	$2,754.23	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $9,120.11	Facility		$5,623.41	$5,623.41	$9,120.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $6,165.95	Professional		$4,168.69	$5,128.61	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $12,882.50 / $27,542.29	Facility		$3,548.13	$12,882.50	$27,542.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $7,943.28 / $10,471.29	Professional		$2,570.40	$7,943.28	$10,471.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $6,918.31	Facility		$2,570.40	$4,466.84	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $6,606.93	Professional		$3,162.28	$5,495.41	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,495.41 / $23,988.33	Facility		$2,754.23	$5,495.41	$23,988.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $6,165.95	Professional		$2,290.87	$3,311.31	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $2,630.27	Professional		$54.95	$70.79	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,317.64 / $14,454.40	Professional		$5,623.41	$8,317.64	$14,454.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $10,964.78 / $28,840.32	Facility		$3,548.13	$10,964.78	$28,840.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $30,902.95	Professional		$2,570.40	$5,128.61	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $7,413.10	Facility		$2,691.53	$3,467.37	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $4,570.88	Professional		$1,905.46	$2,754.23	$4,570.88