Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $11,481.54 / $13,803.84	Professional		$8,709.64	$11,481.54	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $32,359.37 / $32,359.37	Facility		$17,782.79	$32,359.37	$32,359.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $17,782.79 / $22,387.21	Professional		$8,511.38	$17,782.79	$22,387.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,715.19 / $72,443.60	Facility		$6,918.31	$10,715.19	$72,443.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $24,547.09 / $34,673.69	Professional		$10,715.19	$24,547.09	$34,673.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $11,481.54 / $13,803.84	Facility		$6,606.93	$11,481.54	$13,803.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $11,481.54 / $13,803.84	Facility		$79.43	$11,481.54	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,754.40 / $11,220.18	Professional		$4,168.69	$5,754.40	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $457.09 / $5,011.87	Professional		$47.86	$457.09	$5,011.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $4,466.84	Professional		$1,995.26	$3,388.44	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $10,715.19 / $11,748.98	Facility		$64.57	$10,715.19	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $10,715.19 / $10,715.19	Professional		$1,230.27	$10,715.19	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,949.84 / $7,762.47	Facility		$676.08	$1,949.84	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,754.40 / $11,748.98	Professional		$3,890.45	$5,754.40	$11,748.98