Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Facility		$15,488.17	$15,488.17	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $16,218.10 / $16,595.87	Professional		$15,488.17	$16,218.10	$16,595.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,079.46	Facility		$5,888.44	$6,760.83	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $16,218.10 / $16,218.10	Professional		$3,715.35	$16,218.10	$16,218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $11,481.54 / $16,595.87	Facility		$5,495.41	$11,481.54	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,918.31 / $16,595.87	Professional		$4,365.16	$6,918.31	$16,595.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $31,622.78 / $43,651.58	Facility		$7,943.28	$31,622.78	$43,651.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $15,488.17 / $19,498.45	Facility		$3,630.78	$15,488.17	$19,498.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $74,131.02	Professional		$16,218.10	$16,218.10	$74,131.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $12,302.69	Professional		$5,888.44	$8,709.64	$12,302.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $58,884.37	Facility		$16,595.87	$16,595.87	$58,884.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $87,096.36	Professional		$16,595.87	$16,595.87	$87,096.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,265.80 / $4,265.80	Facility		$3,162.28	$4,265.80	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $22,387.21	Professional		$16,218.10	$16,218.10	$22,387.21