Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $8,709.64 / $10,471.29	Professional		$6,606.93	$8,709.64	$10,471.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $24,547.09 / $24,547.09	Facility		$13,489.63	$24,547.09	$24,547.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $13,489.63 / $16,595.87	Professional		$6,456.54	$13,489.63	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $8,128.31 / $53,703.18	Facility		$6,309.57	$8,128.31	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $18,620.87 / $25,703.96	Professional		$8,128.31	$18,620.87	$25,703.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,709.64 / $10,471.29	Facility		$4,897.79	$8,709.64	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $8,709.64 / $10,471.29	Facility		$79.43	$8,709.64	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $8,317.64	Professional		$3,162.28	$4,365.16	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $346.74 / $5,011.87	Professional		$42.66	$346.74	$5,011.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $3,311.31	Professional		$1,513.56	$2,570.40	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $8,128.31 / $8,912.51	Facility		$64.57	$8,128.31	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $8,128.31 / $8,128.31	Professional		$933.25	$8,128.31	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,479.11 / $5,888.44	Facility		$512.86	$1,479.11	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $8,912.51	Professional		$2,884.03	$4,365.16	$8,912.51