Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,235.94	Professional		$1,659.59	$1,905.46	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $6,456.54	Facility		$3,890.45	$3,890.45	$6,456.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,630.78 / $4,365.16	Professional		$3,311.31	$3,630.78	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $8,912.51 / $19,054.61	Facility		$2,454.71	$8,912.51	$19,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $5,495.41 / $7,413.10	Professional		$1,778.28	$5,495.41	$7,413.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $4,786.30	Facility		$1,905.46	$3,162.28	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $4,677.35	Professional		$2,187.76	$3,715.35	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $17,782.79	Facility		$1,905.46	$3,801.89	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,265.80	Professional		$1,698.24	$2,290.87	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $2,570.40	Professional		$54.95	$70.79	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,888.44 / $10,715.19	Professional		$3,890.45	$5,888.44	$10,715.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,762.47 / $17,782.79	Facility		$2,454.71	$7,762.47	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $19,054.61	Professional		$1,778.28	$3,630.78	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $5,495.41	Facility		$2,041.74	$2,570.40	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,235.94	Professional		$1,412.54	$1,905.46	$3,235.94