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 $1,023.29 / $1,174.90 / $1,949.84	Professional		$1,023.29	$1,174.90	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,890.45	Facility		$2,398.83	$2,398.83	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,691.53	Professional		$2,187.76	$2,187.76	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,244.36 / $11,748.98	Facility		$1,819.70	$7,244.36	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Professional		$1,513.56	$3,467.37	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $2,951.21	Facility		$1,148.15	$1,905.46	$2,951.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $2,818.38	Professional		$1,348.96	$2,290.87	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,344.23 / $10,000.00	Facility		$1,174.90	$2,344.23	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,630.27	Professional		$1,047.13	$1,412.54	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,548.13 / $6,606.93	Professional		$2,398.83	$3,548.13	$6,606.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,677.35 / $10,715.19	Facility		$1,819.70	$4,677.35	$10,715.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $11,748.98	Professional		$1,513.56	$2,884.03	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,659.59	Facility		$1,230.27	$1,548.82	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,949.84	Professional		$870.96	$1,174.90	$1,949.84