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 $6,309.57 / $8,511.38 / $10,000.00	Professional		$6,309.57	$8,511.38	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $23,442.29 / $23,442.29	Facility		$12,882.50	$23,442.29	$23,442.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $12,882.50 / $16,218.10	Professional		$9,332.54	$12,882.50	$16,218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,370.32 / $52,480.75	Facility		$5,248.07	$5,370.32	$52,480.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $15,848.93 / $25,118.86	Professional		$5,248.07	$15,848.93	$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 $3,019.95 / $4,265.80 / $8,128.31	Professional		$3,019.95	$4,265.80	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $302.00 / $6,309.57	Professional		$42.66	$302.00	$6,309.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,235.94	Professional		$1,479.11	$2,454.71	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $5,248.07 / $8,511.38	Facility		$64.57	$5,248.07	$8,511.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $5,248.07 / $5,370.32	Professional		$891.25	$5,248.07	$5,370.32
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