Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $8,912.51 / $14,791.08	Professional		$7,762.47	$8,912.51	$14,791.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $29,512.09	Facility		$17,782.79	$17,782.79	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $16,595.87 / $19,952.62	Professional		$14,791.08	$16,595.87	$19,952.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $40,738.03 / $87,096.36	Facility		$9,772.37	$40,738.03	$87,096.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $25,118.86 / $33,884.42	Professional		$8,317.64	$25,118.86	$33,884.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $14,454.40 / $20,892.96	Facility		$8,912.51	$14,454.40	$20,892.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $17,378.01 / $21,379.62	Professional		$15,848.93	$17,378.01	$21,379.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $17,378.01 / $81,283.05	Facility		$10,000.00	$17,378.01	$81,283.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $11,481.54 / $19,952.62	Professional		$8,128.31	$11,481.54	$19,952.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $26,915.35 / $48,977.88	Professional		$17,782.79	$26,915.35	$48,977.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $35,481.34 / $81,283.05	Facility		$9,772.37	$35,481.34	$81,283.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $16,595.87 / $89,125.09	Professional		$8,317.64	$16,595.87	$89,125.09
United Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $11,748.98 / $25,703.96	Facility		$9,332.54	$11,748.98	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $8,912.51 / $14,791.08	Professional		$6,456.54	$8,912.51	$14,791.08