Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Facility		$19,498.45	$19,498.45	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $20,892.96 / $29,512.09	Professional		$18,620.87	$20,892.96	$29,512.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39,810.72 / $39,810.72 / $64,565.42	Facility		$39,810.72	$39,810.72	$64,565.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37,153.52 / $39,810.72 / $53,703.18	Professional		$37,153.52	$39,810.72	$53,703.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104,712.85 / $123,026.88 / $194,984.46	Facility		$104,712.85	$123,026.88	$194,984.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $61,659.50 / $74,131.02	Professional		$30,902.95	$61,659.50	$74,131.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $30,199.52 / $46,773.51	Facility		$19,498.45	$30,199.52	$46,773.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38,904.51 / $40,738.03 / $46,773.51	Professional		$38,904.51	$40,738.03	$46,773.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $38,904.51 / $181,970.09	Facility		$20,892.96	$38,904.51	$181,970.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $25,118.86 / $48,977.88	Professional		$19,952.62	$25,118.86	$48,977.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39,810.72 / $58,884.37 / $120,226.44	Professional		$39,810.72	$58,884.37	$120,226.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $79,432.82 / $79,432.82 / $186,208.71	Facility		$79,432.82	$79,432.82	$186,208.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $173,780.08 / $194,984.46	Professional		$30,902.95	$173,780.08	$194,984.46
United Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $23,442.29 / $53,703.18	Facility		$19,952.62	$23,442.29	$53,703.18
United Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $36,307.81	Professional		$14,791.08	$20,417.38	$36,307.81