Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,511.89	Professional		$1,258.93	$1,513.56	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $5,011.87	Facility		$3,019.95	$3,019.95	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $3,388.44	Professional		$2,570.40	$2,818.38	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,079.46 / $15,135.61	Facility		$2,398.83	$7,079.46	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,365.16 / $5,754.40	Professional		$1,995.26	$4,365.16	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,801.89	Facility		$1,479.11	$2,454.71	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $3,630.78	Professional		$1,698.24	$3,019.95	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,019.95 / $14,125.38	Facility		$1,513.56	$3,019.95	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,388.44	Professional		$1,318.26	$1,819.70	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $3,019.95	Professional		$54.95	$70.79	$3,019.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $8,317.64	Professional		$3,019.95	$4,570.88	$8,317.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,025.60 / $14,791.08	Facility		$2,398.83	$6,025.60	$14,791.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,715.35 / $15,848.93	Professional		$1,995.26	$3,715.35	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,698.24 / $2,089.30	Facility		$707.95	$1,698.24	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,511.89	Professional		$1,122.02	$1,479.11	$2,511.89