Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,819.70	Professional		$1,621.81	$1,621.81	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $4,677.35	Professional		$1,348.96	$2,187.76	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,388.44 / $5,888.44	Facility		$1,659.59	$3,388.44	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $1,659.59	Professional		$199.53	$331.13	$1,659.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $3,019.95	Facility		$1,659.59	$1,698.24	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $3,715.35	Facility		$1,659.59	$1,698.24	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $3,467.37	Professional		$1,659.59	$1,659.59	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $331.13 / $2,818.38	Professional		$141.25	$331.13	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $4,677.35	Facility		$1,659.59	$1,659.59	$4,677.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $6,918.31	Professional		$1,659.59	$1,659.59	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,754.23	Professional		$2,238.72	$2,238.72	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $1,548.82	Professional		$125.89	$269.15	$1,548.82