Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,623.41 / $6,456.54	Professional		$4,073.80	$5,623.41	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $15,135.61 / $15,135.61	Facility		$8,317.64	$15,135.61	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $8,317.64 / $10,232.93	Professional		$3,890.45	$8,317.64	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $33,113.11	Facility		$5,623.41	$5,623.41	$33,113.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $10,232.93 / $15,848.93	Professional		$5,623.41	$10,232.93	$15,848.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,630.78 / $6,025.60	Facility		$407.38	$3,630.78	$6,025.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,630.78 / $6,456.54	Facility		$363.08	$3,630.78	$6,456.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $5,248.07	Professional		$2,089.30	$3,090.30	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $389.05 / $4,168.69	Professional		$16.60	$389.05	$4,168.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,621.81 / $2,137.96	Professional		$933.25	$1,621.81	$2,137.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $5,623.41 / $6,456.54	Facility		$64.57	$5,623.41	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $5,623.41 / $5,623.41	Professional		$616.60	$5,623.41	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $977.24 / $4,677.35	Facility		$380.19	$977.24	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $6,165.95	Professional		$1,862.09	$2,951.21	$6,165.95