Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,456.54 / $10,715.19	Professional		$4,786.30	$6,456.54	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $21,379.62	Facility		$13,182.57	$13,182.57	$21,379.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $12,302.69 / $14,791.08	Professional		$10,964.78	$12,302.69	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $30,199.52 / $64,565.42	Facility		$8,317.64	$30,199.52	$64,565.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $18,620.87 / $24,547.09	Professional		$6,025.60	$18,620.87	$24,547.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,471.29 / $16,218.10	Facility		$5,888.44	$10,471.29	$16,218.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $11,748.98 / $15,488.17	Professional		$7,413.10	$11,748.98	$15,488.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,882.50 / $56,234.13	Facility		$6,456.54	$12,882.50	$56,234.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,762.47 / $14,454.40	Professional		$5,248.07	$7,762.47	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $6,606.93	Professional		$54.95	$70.79	$6,606.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $19,498.45 / $33,113.11	Professional		$13,182.57	$19,498.45	$33,113.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $26,302.68 / $56,234.13	Facility		$8,317.64	$26,302.68	$56,234.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $12,022.64 / $69,183.10	Professional		$6,025.60	$12,022.64	$69,183.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,943.28 / $17,378.01	Facility		$4,365.16	$7,943.28	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,456.54 / $10,964.78	Professional		$4,365.16	$6,456.54	$10,964.78