Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,862.09	Professional		$812.83	$1,174.90	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,981.07	Facility		$2,398.83	$2,398.83	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $2,630.27	Professional		$2,041.74	$2,238.72	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $11,748.98	Facility		$1,122.02	$5,495.41	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $3,388.44 / $4,570.88	Professional		$831.76	$3,388.44	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $2,951.21	Facility		$1,000.00	$1,949.84	$2,951.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $2,818.38	Professional		$1,348.96	$2,344.23	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,344.23 / $9,772.37	Facility		$1,174.90	$2,344.23	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,630.27	Professional		$933.25	$1,348.96	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $851.14	Professional		$54.95	$70.79	$851.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,548.13 / $5,754.40	Professional		$2,398.83	$3,548.13	$5,754.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,786.30 / $11,481.54	Facility		$1,122.02	$4,786.30	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,659.59 / $11,481.54	Professional		$831.76	$1,659.59	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,951.21	Facility		$1,047.13	$1,348.96	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,949.84	Professional		$776.25	$1,174.90	$1,949.84