Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $10,715.19	Professional		$5,370.32	$6,309.57	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $20,892.96	Facility		$12,882.50	$12,882.50	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $12,022.64 / $14,125.38	Professional		$10,964.78	$12,022.64	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $29,512.09 / $63,095.73	Facility		$8,128.31	$29,512.09	$63,095.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $18,197.01 / $23,988.33	Professional		$5,888.44	$18,197.01	$23,988.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $15,848.93	Facility		$6,165.95	$10,232.93	$15,848.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $12,022.64 / $15,135.61	Professional		$7,244.36	$12,022.64	$15,135.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $12,589.25 / $61,659.50	Facility		$6,309.57	$12,589.25	$61,659.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,943.28 / $14,125.38	Professional		$5,623.41	$7,943.28	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $8,511.38	Professional		$54.95	$70.79	$8,511.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $19,054.61 / $38,018.94	Professional		$12,882.50	$19,054.61	$38,018.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $25,703.96 / $64,565.42	Facility		$8,128.31	$25,703.96	$64,565.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $11,748.98 / $79,432.82	Professional		$5,888.44	$11,748.98	$79,432.82
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,912.51 / $19,498.45	Facility		$5,011.87	$8,912.51	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,309.57 / $10,715.19	Professional		$5,011.87	$6,309.57	$10,715.19