Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,760.83 / $8,128.31	Professional		$5,128.61	$6,760.83	$8,128.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $19,054.61 / $19,054.61	Facility		$10,471.29	$19,054.61	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,471.29 / $13,182.57	Professional		$8,511.38	$10,471.29	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,011.87 / $42,657.95	Facility		$4,466.84	$5,011.87	$42,657.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $12,882.50 / $20,417.38	Professional		$4,365.16	$12,882.50	$20,417.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $8,128.31	Facility		$3,890.45	$6,760.83	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $6,918.31 / $8,128.31	Facility		$616.60	$6,918.31	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,168.69 / $7,079.46	Professional		$2,884.03	$4,168.69	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $295.12 / $6,606.93	Professional		$33.88	$295.12	$6,606.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $2,630.27	Professional		$1,174.90	$1,995.26	$2,630.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $5,011.87 / $6,918.31	Facility		$64.57	$5,011.87	$6,918.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $5,011.87 / $5,128.61	Professional		$724.44	$5,011.87	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,148.15 / $4,570.88	Facility		$512.86	$1,148.15	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,073.80 / $7,079.46	Professional		$2,511.89	$4,073.80	$7,079.46