Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,715.19 / $17,378.01	Professional		$9,120.11	$10,715.19	$17,378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $21,877.62 / $35,481.34	Facility		$21,877.62	$21,877.62	$35,481.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $20,417.38 / $24,547.09	Professional		$16,218.10	$20,417.38	$24,547.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $50,118.72 / $107,151.93	Facility		$12,882.50	$50,118.72	$107,151.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $30,902.95 / $40,738.03	Professional		$9,332.54	$30,902.95	$40,738.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $17,378.01 / $26,915.35	Facility		$10,471.29	$17,378.01	$26,915.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $21,379.62 / $26,915.35	Professional		$19,498.45	$21,379.62	$26,915.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $21,379.62 / $97,723.72	Facility		$10,715.19	$21,379.62	$97,723.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $13,489.63 / $23,988.33	Professional		$9,549.93	$13,489.63	$23,988.33
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 $21,877.62 / $32,359.37 / $58,884.37	Professional		$21,877.62	$32,359.37	$58,884.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $43,651.58 / $97,723.72	Facility		$12,882.50	$43,651.58	$97,723.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $18,620.87 / $107,151.93	Professional		$9,332.54	$18,620.87	$107,151.93
United Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $14,125.38 / $30,902.95	Facility		$11,220.18	$14,125.38	$30,902.95
United Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $10,715.19 / $18,197.01	Professional		$7,762.47	$10,715.19	$18,197.01