Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $12,022.64 / $14,454.40	Professional		$9,120.11	$12,022.64	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $33,884.42 / $33,884.42	Facility		$18,620.87	$33,884.42	$33,884.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,908.68	Professional		$13,489.63	$18,620.87	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $11,220.18 / $74,131.02	Facility		$6,606.93	$11,220.18	$74,131.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $25,703.96 / $35,481.34	Professional		$11,220.18	$25,703.96	$35,481.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,022.64 / $14,454.40	Facility		$6,760.83	$12,022.64	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $12,022.64 / $14,454.40	Facility		$79.43	$12,022.64	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $11,481.54	Professional		$4,365.16	$6,025.60	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $457.09 / $9,120.11	Professional		$50.12	$457.09	$9,120.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $4,570.88	Professional		$2,089.30	$3,548.13	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $11,220.18 / $12,302.69	Facility		$64.57	$11,220.18	$12,302.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $11,220.18 / $11,220.18	Professional		$1,288.25	$11,220.18	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,041.74 / $8,128.31	Facility		$707.95	$2,041.74	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,025.60 / $12,302.69	Professional		$3,981.07	$6,025.60	$12,302.69