Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $11,220.18 / $19,054.61	Professional		$9,772.37	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $38,018.94	Facility		$22,908.68	$22,908.68	$38,018.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $21,379.62 / $25,703.96	Professional		$19,498.45	$21,379.62	$25,703.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $52,480.75 / $112,201.85	Facility		$14,454.40	$52,480.75	$112,201.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $32,359.37 / $43,651.58	Professional		$10,715.19	$32,359.37	$43,651.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $18,620.87 / $28,183.83	Facility		$11,220.18	$18,620.87	$28,183.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20,417.38 / $27,542.29 / $33,884.42	Professional		$20,417.38	$27,542.29	$33,884.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $22,387.21 / $104,712.85	Facility		$11,220.18	$22,387.21	$104,712.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $25,118.86	Professional		$10,000.00	$13,803.84	$25,118.86
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 $22,908.68 / $34,673.69 / $63,095.73	Professional		$22,908.68	$34,673.69	$63,095.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $45,708.82 / $104,712.85	Facility		$14,454.40	$45,708.82	$104,712.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $24,547.09 / $112,201.85	Professional		$10,715.19	$24,547.09	$112,201.85
United Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $15,135.61 / $32,359.37	Facility		$12,022.64	$15,135.61	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $11,220.18 / $19,054.61	Professional		$8,317.64	$11,220.18	$19,054.61