Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $14,791.08 / $24,547.09	Professional		$12,589.25	$14,791.08	$24,547.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $48,977.88	Facility		$29,512.09	$29,512.09	$48,977.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22,387.21 / $27,542.29 / $33,113.11	Professional		$22,387.21	$27,542.29	$33,113.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $67,608.30 / $144,543.98	Facility		$16,218.10	$67,608.30	$144,543.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $41,686.94 / $56,234.13	Professional		$11,748.98	$41,686.94	$56,234.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $23,988.33 / $36,307.81	Facility		$14,454.40	$23,988.33	$36,307.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26,302.68 / $35,481.34 / $43,651.58	Professional		$26,302.68	$35,481.34	$43,651.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $28,840.32 / $134,896.29	Facility		$14,454.40	$28,840.32	$134,896.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $17,782.79 / $32,359.37	Professional		$12,882.50	$17,782.79	$32,359.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29,512.09 / $44,668.36 / $81,283.05	Professional		$29,512.09	$44,668.36	$81,283.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $58,884.37 / $134,896.29	Facility		$16,218.10	$58,884.37	$134,896.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $31,622.78 / $144,543.98	Professional		$11,748.98	$31,622.78	$144,543.98
United Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $19,498.45 / $42,657.95	Facility		$15,488.17	$19,498.45	$42,657.95
United Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $14,454.40 / $24,547.09	Professional		$10,715.19	$14,454.40	$24,547.09