Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,238.72	Professional		$1,122.02	$1,348.96	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $4,570.88	Facility		$2,754.23	$2,754.23	$4,570.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $3,090.30	Professional		$2,454.71	$2,570.40	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,309.57 / $13,489.63	Facility		$1,737.80	$6,309.57	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,890.45 / $5,248.07	Professional		$1,288.25	$3,890.45	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $3,388.44	Facility		$1,258.93	$2,238.72	$3,388.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $3,311.31	Professional		$1,548.82	$2,454.71	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,691.53 / $11,748.98	Facility		$1,348.96	$2,691.53	$11,748.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $3,019.95	Professional		$1,122.02	$1,621.81	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,168.69 / $7,079.46	Professional		$2,754.23	$4,168.69	$7,079.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,495.41 / $11,748.98	Facility		$1,737.80	$5,495.41	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $12,882.50	Professional		$1,288.25	$2,511.89	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,698.24 / $3,715.35	Facility		$977.24	$1,698.24	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,238.72	Professional		$933.25	$1,348.96	$2,238.72