Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,248.07 / $5,248.07	Professional		$3,548.13	$5,248.07	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,754.40 / $7,079.46	Professional		$5,623.41	$5,754.40	$7,079.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $9,332.54	Facility		$5,128.61	$5,128.61	$9,332.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $5,128.61 / $8,317.64	Facility		$79.43	$5,128.61	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $2,754.23	Professional		$50.12	$58.88	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11