Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $17,782.79	Facility		$691.83	$691.83	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,862.09	Professional		$691.83	$1,071.52	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,182.57	Facility		$5,011.87	$8,128.31	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $6,309.57	Professional		$1,122.02	$2,137.96	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $16,218.10 / $26,302.68	Facility		$14,125.38	$16,218.10	$26,302.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $7,244.36	Professional		$3,162.28	$3,630.78	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,943.28 / $14,454.40	Facility		$1,288.25	$7,943.28	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Professional		$12,589.25	$12,589.25	$12,589.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,801.89 / $11,481.54	Facility		$1,659.59	$3,801.89	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $9,332.54 / $24,547.09	Professional		$1,905.46	$9,332.54	$24,547.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $1,513.56 / $13,182.57	Professional		$54.95	$1,513.56	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $3,801.89	Professional		$1,819.70	$2,691.53	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $8,912.51	Facility		$2,818.38	$2,818.38	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $9,332.54 / $9,332.54	Professional		$4,073.80	$9,332.54	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $8,709.64 / $25,703.96	Professional		$1,288.25	$8,709.64	$25,703.96