Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility		$13,489.63	$13,489.63	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Professional		$13,489.63	$13,489.63	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,606.93 / $6,606.93	Professional		$4,466.84	$6,606.93	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $11,748.98 / $14,454.40	Professional		$9,772.37	$11,748.98	$14,454.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $24,547.09	Facility		$7,943.28	$13,489.63	$24,547.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $13,489.63 / $20,417.38	Facility		$79.43	$13,489.63	$20,417.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
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 / $11,748.98 / $11,748.98	Facility		$64.57	$11,748.98	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $11,748.98 / $12,022.64	Professional		$9,772.37	$11,748.98	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27