Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility		$8,511.38	$8,511.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $8,511.38 / $10,000.00	Professional		$6,456.54	$8,511.38	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $23,988.33 / $23,988.33	Facility		$13,182.57	$23,988.33	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $13,182.57 / $16,218.10	Professional		$6,309.57	$13,182.57	$16,218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $52,480.75	Facility		$5,128.61	$5,128.61	$52,480.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $16,218.10 / $25,118.86	Professional		$5,128.61	$16,218.10	$25,118.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,511.38 / $10,232.93	Facility		$4,786.30	$8,511.38	$10,232.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $8,511.38 / $10,232.93	Facility		$79.43	$8,511.38	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,265.80 / $8,128.31	Professional		$3,090.30	$4,265.80	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $630.96 / $6,309.57	Professional		$41.69	$630.96	$6,309.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $3,235.94	Professional		$1,479.11	$2,511.89	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $5,128.61 / $8,511.38	Facility		$64.57	$5,128.61	$8,511.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $5,128.61 / $5,128.61	Professional		$912.01	$5,128.61	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,412.54 / $5,623.41	Facility		$501.19	$1,412.54	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,265.80 / $8,709.64	Professional		$2,818.38	$4,265.80	$8,709.64