Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $7,762.47	Professional		$3,890.45	$5,128.61	$7,762.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $16,982.44	Facility		$10,232.93	$10,232.93	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $9,549.93 / $11,481.54	Professional		$8,709.64	$9,549.93	$11,481.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $23,988.33 / $50,118.72	Facility		$6,606.93	$23,988.33	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $14,791.08 / $19,498.45	Professional		$4,786.30	$14,791.08	$19,498.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,317.64 / $12,882.50	Facility		$4,466.84	$8,317.64	$12,882.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $9,120.11 / $12,302.69	Professional		$5,754.40	$9,120.11	$12,302.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,000.00 / $42,657.95	Facility		$5,128.61	$10,000.00	$42,657.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $6,025.60 / $11,481.54	Professional		$4,073.80	$6,025.60	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $6,760.83	Professional		$54.95	$70.79	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $15,488.17 / $25,118.86	Professional		$10,232.93	$15,488.17	$25,118.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $20,417.38 / $42,657.95	Facility		$6,606.93	$20,417.38	$42,657.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $9,549.93 / $48,977.88	Professional		$4,786.30	$9,549.93	$48,977.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,025.60 / $13,182.57	Facility		$3,801.89	$6,025.60	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,011.87 / $8,317.64	Professional		$3,388.44	$5,011.87	$8,317.64