Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,801.89	Professional		$1,995.26	$2,290.87	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $7,585.78	Facility		$4,677.35	$4,677.35	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,248.07	Professional		$4,265.80	$4,265.80	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $10,715.19 / $22,908.68	Facility		$2,951.21	$10,715.19	$22,908.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $6,606.93 / $8,709.64	Professional		$2,137.96	$6,606.93	$8,709.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $5,754.40	Facility		$2,238.72	$3,715.35	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $5,495.41	Professional		$2,630.27	$4,466.84	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $21,379.62	Facility		$2,290.87	$4,570.88	$21,379.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $5,128.61	Professional		$2,041.74	$2,754.23	$5,128.61
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 $4,677.35 / $6,918.31 / $12,882.50	Professional		$4,677.35	$6,918.31	$12,882.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $9,332.54 / $21,379.62	Facility		$2,951.21	$9,332.54	$21,379.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $5,011.87 / $22,908.68	Professional		$2,137.96	$5,011.87	$22,908.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $6,606.93	Facility		$2,398.83	$3,019.95	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,801.89	Professional		$1,698.24	$2,290.87	$3,801.89