Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,760.83 / $11,220.18	Professional		$5,011.87	$6,760.83	$11,220.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $22,908.68	Facility		$13,803.84	$13,803.84	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $12,882.50 / $15,135.61	Professional		$8,912.51	$12,882.50	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $31,622.78 / $67,608.30	Facility		$8,709.64	$31,622.78	$67,608.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $19,498.45 / $26,302.68	Professional		$6,309.57	$19,498.45	$26,302.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $11,220.18 / $16,982.44	Facility		$6,165.95	$11,220.18	$16,982.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $12,302.69 / $16,595.87	Professional		$7,762.47	$12,302.69	$16,595.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $13,489.63 / $58,884.37	Facility		$6,760.83	$13,489.63	$58,884.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $8,128.31 / $15,135.61	Professional		$5,495.41	$8,128.31	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $6,918.31	Professional		$54.95	$70.79	$6,918.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $20,892.96 / $34,673.69	Professional		$13,803.84	$20,892.96	$34,673.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $27,542.29 / $58,884.37	Facility		$8,709.64	$27,542.29	$58,884.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $12,882.50 / $72,443.60	Professional		$6,309.57	$12,882.50	$72,443.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,317.64 / $18,197.01	Facility		$4,466.84	$8,317.64	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,760.83 / $11,220.18	Professional		$4,570.88	$6,760.83	$11,220.18