Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,897.79 / $8,128.31	Professional		$3,715.35	$4,897.79	$8,128.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $16,218.10	Facility		$10,000.00	$10,000.00	$16,218.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $9,332.54 / $11,220.18	Professional		$8,317.64	$9,332.54	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $22,908.68 / $48,977.88	Facility		$6,309.57	$22,908.68	$48,977.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $14,125.38 / $18,620.87	Professional		$4,570.88	$14,125.38	$18,620.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,943.28 / $12,302.69	Facility		$4,466.84	$7,943.28	$12,302.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,912.51 / $11,748.98	Professional		$5,623.41	$8,912.51	$11,748.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $9,772.37 / $41,686.94	Facility		$4,897.79	$9,772.37	$41,686.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,888.44 / $10,964.78	Professional		$3,981.07	$5,888.44	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $6,606.93	Professional		$54.95	$70.79	$6,606.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $14,791.08 / $25,118.86	Professional		$10,000.00	$14,791.08	$25,118.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $19,952.62 / $41,686.94	Facility		$6,309.57	$19,952.62	$41,686.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $9,120.11 / $51,286.14	Professional		$4,570.88	$9,120.11	$51,286.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,182.57	Facility		$3,630.78	$6,025.60	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,897.79 / $8,128.31	Professional		$3,388.44	$4,897.79	$8,128.31