Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $5,370.32	Professional		$2,754.23	$3,162.28	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $10,715.19	Facility		$6,456.54	$6,456.54	$10,715.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,025.60 / $7,244.36	Professional		$4,570.88	$6,025.60	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $14,791.08 / $31,622.78	Facility		$4,073.80	$14,791.08	$31,622.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $9,120.11 / $12,302.69	Professional		$2,951.21	$9,120.11	$12,302.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,248.07 / $7,943.28	Facility		$3,090.30	$5,248.07	$7,943.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $6,309.57 / $7,762.47	Professional		$3,630.78	$6,309.57	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,309.57 / $29,512.09	Facility		$3,162.28	$6,309.57	$29,512.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $7,244.36	Professional		$2,754.23	$3,801.89	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $4,265.80	Professional		$54.95	$70.79	$4,265.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $9,772.37 / $17,378.01	Professional		$6,456.54	$9,772.37	$17,378.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $12,882.50 / $33,113.11	Facility		$4,073.80	$12,882.50	$33,113.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,888.44 / $36,307.81	Professional		$2,951.21	$5,888.44	$36,307.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $9,120.11	Facility		$3,311.31	$4,168.69	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $5,370.32	Professional		$2,344.23	$3,311.31	$5,370.32