Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility		$7,762.47	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $7,762.47 / $13,489.63	Professional		$6,918.31	$7,762.47	$13,489.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $25,703.96	Facility		$15,488.17	$15,488.17	$25,703.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $14,454.40 / $17,378.01	Professional		$13,182.57	$14,454.40	$17,378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $36,307.81 / $77,624.71	Facility		$10,000.00	$36,307.81	$77,624.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $22,387.21 / $29,512.09	Professional		$7,244.36	$22,387.21	$29,512.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,589.25 / $19,498.45	Facility		$7,585.78	$12,589.25	$19,498.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $15,488.17 / $18,620.87	Professional		$8,709.64	$15,488.17	$18,620.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $15,488.17 / $75,857.76	Facility		$7,762.47	$15,488.17	$75,857.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $9,549.93 / $17,378.01	Professional		$7,079.46	$9,549.93	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $10,232.93	Professional		$54.95	$70.79	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $23,442.29 / $45,708.82	Professional		$15,488.17	$23,442.29	$45,708.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $30,902.95 / $77,624.71	Facility		$10,000.00	$30,902.95	$77,624.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $14,454.40 / $95,499.26	Professional		$7,244.36	$14,454.40	$95,499.26
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $23,442.29	Facility		$6,606.93	$10,964.78	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,585.78 / $12,882.50	Professional		$6,025.60	$7,585.78	$12,882.50