Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $5,754.40	Professional		$2,818.38	$3,801.89	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $12,589.25	Facility		$7,585.78	$7,585.78	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $7,079.46 / $8,511.38	Professional		$6,918.31	$7,079.46	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $17,782.79 / $38,018.94	Facility		$4,897.79	$17,782.79	$38,018.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $10,964.78 / $14,454.40	Professional		$3,548.13	$10,964.78	$14,454.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,165.95 / $9,549.93	Facility		$3,467.37	$6,165.95	$9,549.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $9,120.11	Professional		$4,265.80	$7,585.78	$9,120.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,585.78 / $33,113.11	Facility		$3,801.89	$7,585.78	$33,113.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,511.38	Professional		$3,090.30	$4,570.88	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $4,168.69	Professional		$54.95	$70.79	$4,168.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $11,481.54 / $19,498.45	Professional		$7,585.78	$11,481.54	$19,498.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $15,135.61 / $38,904.51	Facility		$4,897.79	$15,135.61	$38,904.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $7,079.46 / $47,863.01	Professional		$3,548.13	$7,079.46	$47,863.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,677.35 / $10,000.00	Facility		$3,630.78	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $6,309.57	Professional		$2,570.40	$3,715.35	$6,309.57