Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $9,120.11	Professional		$4,570.88	$5,370.32	$9,120.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $18,197.01	Facility		$10,964.78	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,232.93 / $12,302.69	Professional		$8,317.64	$10,232.93	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $25,118.86 / $53,703.18	Facility		$7,585.78	$25,118.86	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $15,488.17 / $20,892.96	Professional		$5,495.41	$15,488.17	$20,892.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $8,912.51 / $13,489.63	Facility		$5,248.07	$8,912.51	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $16,218.10	Professional		$9,772.37	$13,182.57	$16,218.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,715.19 / $48,977.88	Facility		$5,370.32	$10,715.19	$48,977.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,606.93 / $12,022.64	Professional		$4,677.35	$6,606.93	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $6,918.31	Professional		$54.95	$70.79	$6,918.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $29,512.09	Professional		$10,964.78	$16,595.87	$29,512.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $21,877.62 / $48,977.88	Facility		$7,585.78	$21,877.62	$48,977.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $10,964.78 / $54,954.09	Professional		$5,495.41	$10,964.78	$54,954.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,079.46 / $15,488.17	Facility		$4,265.80	$7,079.46	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $9,120.11	Professional		$3,890.45	$5,370.32	$9,120.11