Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,737.80	Professional		$870.96	$1,202.26	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $4,073.80	Facility		$2,511.89	$2,511.89	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,754.23	Professional		$2,089.30	$2,290.87	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,754.40 / $12,302.69	Facility		$1,584.89	$5,754.40	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,548.13 / $4,677.35	Professional		$1,148.15	$3,548.13	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $3,090.30	Facility		$1,047.13	$1,995.26	$3,090.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $2,951.21	Professional		$1,380.38	$2,238.72	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,454.71 / $9,772.37	Facility		$1,230.27	$2,454.71	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,754.23	Professional		$933.25	$1,412.54	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,659.59	Professional		$54.95	$70.79	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $5,888.44	Professional		$2,511.89	$3,715.35	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,897.79 / $10,232.93	Facility		$1,584.89	$4,897.79	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,238.72 / $11,220.18	Professional		$1,148.15	$2,238.72	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,412.54 / $3,090.30	Facility		$794.33	$1,412.54	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,041.74	Professional		$812.83	$1,202.26	$2,041.74