Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $12,302.69	Professional		$6,456.54	$7,585.78	$12,302.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $24,547.09	Facility		$14,791.08	$14,791.08	$24,547.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $13,803.84 / $16,595.87	Professional		$12,302.69	$13,803.84	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $33,884.42 / $72,443.60	Facility		$9,332.54	$33,884.42	$72,443.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $20,892.96 / $28,183.83	Professional		$6,918.31	$20,892.96	$28,183.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $12,022.64 / $18,197.01	Facility		$7,244.36	$12,022.64	$18,197.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $14,454.40 / $17,782.79	Professional		$8,317.64	$14,454.40	$17,782.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $14,454.40 / $74,131.02	Facility		$7,413.10	$14,454.40	$74,131.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $9,549.93 / $16,595.87	Professional		$6,606.93	$9,549.93	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $9,772.37	Professional		$54.95	$70.79	$9,772.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $22,387.21 / $44,668.36	Professional		$14,791.08	$22,387.21	$44,668.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $29,512.09 / $75,857.76	Facility		$9,332.54	$29,512.09	$75,857.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $13,803.84 / $95,499.26	Professional		$6,918.31	$13,803.84	$95,499.26
United Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $23,442.29	Facility		$6,025.60	$10,715.19	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,244.36 / $12,302.69	Professional		$5,754.40	$7,244.36	$12,302.69