Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,000.00 / $15,135.61	Facility		$3,890.45	$10,000.00	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $6,760.83	Professional		$3,801.89	$3,890.45	$6,760.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $30,199.52	Facility		$12,882.50	$17,378.01	$30,199.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $10,232.93	Professional		$5,128.61	$5,128.61	$10,232.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $9,332.54	Facility		$3,890.45	$5,128.61	$9,332.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,715.19 / $17,378.01	Facility		$5,370.32	$10,715.19	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79