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 $776.25 / $1,174.90 / $1,862.09	Professional		$776.25	$1,174.90	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,890.45	Facility		$2,344.23	$2,344.23	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $2,630.27	Professional		$1,995.26	$2,187.76	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,495.41 / $11,481.54	Facility		$1,513.56	$5,495.41	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,388.44 / $4,466.84	Professional		$1,096.48	$3,388.44	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,905.46 / $2,951.21	Facility		$977.24	$1,905.46	$2,951.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $2,818.38	Professional		$1,318.26	$2,290.87	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $9,549.93	Facility		$1,174.90	$2,290.87	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,630.27	Professional		$870.96	$1,318.26	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $891.25	Professional		$54.95	$70.79	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $5,495.41	Professional		$2,344.23	$3,548.13	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,677.35 / $11,220.18	Facility		$1,513.56	$4,677.35	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $12,022.64	Professional		$1,096.48	$2,089.30	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,884.03	Facility		$1,047.13	$1,318.26	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,905.46	Professional		$776.25	$1,148.15	$1,905.46