Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,691.53	Professional		$1,380.38	$1,621.81	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $5,495.41	Facility		$3,311.31	$3,311.31	$5,495.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $3,715.35	Professional		$2,290.87	$3,090.30	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,585.78 / $16,218.10	Facility		$1,819.70	$7,585.78	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,677.35 / $6,309.57	Professional		$1,548.82	$4,677.35	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $4,073.80	Facility		$1,621.81	$2,691.53	$4,073.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $3,981.07	Professional		$1,862.09	$3,235.94	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $15,135.61	Facility		$1,621.81	$3,235.94	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,630.78	Professional		$1,445.44	$1,995.26	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $3,311.31	Professional		$54.95	$70.79	$3,311.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,011.87 / $9,120.11	Professional		$3,311.31	$5,011.87	$9,120.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $6,606.93 / $15,848.93	Facility		$1,819.70	$6,606.93	$15,848.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,311.31 / $16,982.44	Professional		$1,548.82	$3,311.31	$16,982.44
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,819.70 / $2,290.87	Facility		$758.58	$1,819.70	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,754.23	Professional		$1,202.26	$1,621.81	$2,754.23