Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $7,079.46	Professional		$3,715.35	$4,365.16	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $14,454.40	Facility		$8,709.64	$8,709.64	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,128.31 / $9,772.37	Professional		$7,413.10	$8,128.31	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $20,417.38 / $43,651.58	Facility		$4,786.30	$20,417.38	$43,651.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $12,589.25 / $16,595.87	Professional		$4,073.80	$12,589.25	$16,595.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,079.46 / $10,964.78	Facility		$4,265.80	$7,079.46	$10,964.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $8,709.64 / $10,471.29	Professional		$7,762.47	$8,709.64	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $8,709.64 / $39,810.72	Facility		$4,365.16	$8,709.64	$39,810.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,495.41 / $9,772.37	Professional		$3,801.89	$5,495.41	$9,772.37
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 $8,709.64 / $13,182.57 / $23,988.33	Professional		$8,709.64	$13,182.57	$23,988.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $17,378.01 / $40,738.03	Facility		$4,786.30	$17,378.01	$40,738.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $8,128.31 / $42,657.95	Professional		$4,073.80	$8,128.31	$42,657.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,754.40 / $12,302.69	Facility		$4,466.84	$5,754.40	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,265.80 / $7,244.36	Professional		$3,162.28	$4,265.80	$7,244.36