Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,621.81	Professional		$776.25	$1,148.15	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,801.89	Facility		$2,344.23	$2,344.23	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,137.96 / $2,570.40	Professional		$1,995.26	$2,137.96	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,370.32 / $11,481.54	Facility		$1,479.11	$5,370.32	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $3,311.31 / $4,365.16	Professional		$1,071.52	$3,311.31	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $2,884.03	Facility		$954.99	$1,862.09	$2,884.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $2,754.23	Professional		$1,318.26	$2,290.87	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $9,332.54	Facility		$1,148.15	$2,290.87	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,570.40	Professional		$912.01	$1,288.25	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $794.33	Professional		$54.95	$70.79	$794.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,467.37 / $5,370.32	Professional		$2,344.23	$3,467.37	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,677.35 / $10,964.78	Facility		$1,479.11	$4,677.35	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,511.89 / $10,964.78	Professional		$1,071.52	$2,511.89	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,818.38	Facility		$954.99	$1,288.25	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,905.46	Professional		$758.58	$1,148.15	$1,905.46