Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $24,547.09	Facility		$24,547.09	$24,547.09	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $24,547.09 / $40,738.03	Professional		$21,379.62	$24,547.09	$40,738.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48,977.88 / $48,977.88 / $81,283.05	Facility		$48,977.88	$48,977.88	$81,283.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41,686.94 / $45,708.82 / $54,954.09	Professional		$41,686.94	$45,708.82	$54,954.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31,622.78 / $114,815.36 / $239,883.29	Facility		$31,622.78	$114,815.36	$239,883.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $70,794.58 / $93,325.43	Professional		$22,908.68	$70,794.58	$93,325.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $39,810.72 / $61,659.50	Facility		$23,988.33	$39,810.72	$61,659.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $46,773.51 / $58,884.37	Professional		$27,542.29	$46,773.51	$58,884.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $24,547.09 / $47,863.01 / $223,872.11	Facility		$24,547.09	$47,863.01	$223,872.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $29,512.09 / $54,954.09	Professional		$21,379.62	$29,512.09	$54,954.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48,977.88 / $74,131.02 / $134,896.29	Professional		$48,977.88	$74,131.02	$134,896.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,622.78 / $97,723.72 / $223,872.11	Facility		$31,622.78	$97,723.72	$223,872.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $52,480.75 / $245,470.89	Professional		$22,908.68	$52,480.75	$245,470.89
United Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $32,359.37 / $70,794.58	Facility		$25,703.96	$32,359.37	$70,794.58
United Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $23,988.33 / $39,810.72	Professional		$17,782.79	$23,988.33	$39,810.72