Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,949.84	Professional		$933.25	$1,202.26	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,073.80	Facility		$2,454.71	$2,454.71	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,691.53	Professional		$2,089.30	$2,290.87	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,623.41 / $12,022.64	Facility		$1,548.82	$5,623.41	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,467.37 / $4,677.35	Professional		$1,122.02	$3,467.37	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,995.26 / $3,019.95	Facility		$1,071.52	$1,995.26	$3,019.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $2,884.03	Professional		$1,380.38	$2,187.76	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $10,000.00	Facility		$1,202.26	$2,398.83	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,754.23	Professional		$954.99	$1,445.44	$2,754.23
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 $2,454.71 / $3,630.78 / $6,025.60	Professional		$2,454.71	$3,630.78	$6,025.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $10,000.00	Facility		$1,548.82	$4,897.79	$10,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,754.23 / $12,302.69	Professional		$1,122.02	$2,754.23	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,090.30	Facility		$1,122.02	$1,445.44	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,995.26	Professional		$794.33	$1,230.27	$1,995.26