Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,606.93 / $8,317.64	Professional		$4,897.79	$6,606.93	$8,317.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $18,197.01 / $18,197.01	Facility		$10,000.00	$18,197.01	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $9,332.54 / $12,589.25	Professional		$7,762.47	$9,332.54	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,025.60 / $39,810.72	Facility		$5,888.44	$6,025.60	$39,810.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $12,022.64 / $19,054.61	Professional		$5,888.44	$12,022.64	$19,054.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $11,748.98	Facility		$5,888.44	$8,709.64	$11,748.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,772.37 / $53,703.18	Facility		$5,888.44	$9,772.37	$53,703.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $9,772.37	Professional		$4,365.16	$6,025.60	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $616.60 / $6,165.95	Professional		$54.95	$616.60	$6,165.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $3,019.95	Professional		$1,122.02	$2,290.87	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $19,054.61 / $54,954.09	Facility		$5,888.44	$19,054.61	$54,954.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $5,888.44 / $6,025.60	Professional		$758.58	$5,888.44	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,265.80 / $7,762.47	Facility		$512.86	$4,265.80	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,754.40 / $10,471.29	Professional		$3,801.89	$5,754.40	$10,471.29