Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,890.45	Professional		$3,715.35	$3,715.35	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $7,079.46 / $11,748.98	Professional		$3,715.35	$7,079.46	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,165.95 / $10,715.19	Facility		$3,715.35	$6,165.95	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $3,019.95 / $3,801.89	Professional		$199.53	$3,019.95	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,801.89 / $6,918.31	Facility		$3,715.35	$3,801.89	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $8,317.64	Facility		$3,801.89	$3,890.45	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $7,943.28	Professional		$3,801.89	$3,801.89	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $3,715.35	Professional		$141.25	$302.00	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,801.89 / $10,232.93	Facility		$3,715.35	$3,801.89	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $15,848.93	Professional		$3,715.35	$3,715.35	$15,848.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,165.95	Professional		$5,011.87	$5,011.87	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $2,951.21	Professional		$125.89	$269.15	$2,951.21