Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $8,128.31 / $8,128.31	Facility		$3,090.30	$8,128.31	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,162.28 / $3,311.31	Professional		$3,090.30	$3,162.28	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,168.69 / $4,365.16	Facility		$3,630.78	$4,168.69	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $912.01 / $3,235.94	Facility		$478.63	$912.01	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,162.28 / $3,801.89	Facility		$3,090.30	$3,162.28	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,235.94 / $7,413.10	Facility		$3,090.30	$3,235.94	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $15,135.61	Professional		$3,235.94	$3,235.94	$15,135.61
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 Facility Modifier Low / Median / High Price $3,235.94 / $7,413.10 / $17,378.01	Facility		$3,235.94	$7,413.10	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,073.80 / $17,378.01	Professional		$3,235.94	$4,073.80	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,949.84	Facility		$1,862.09	$1,862.09	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,801.89	Professional		$3,235.94	$3,235.94	$3,801.89