Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,715.19 / $10,715.19	Facility		$4,677.35	$10,715.19	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $4,677.35	Professional		$2,691.53	$3,235.94	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $10,471.29 / $10,715.19	Facility		$8,317.64	$10,471.29	$10,715.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $13,489.63	Professional		$489.78	$575.44	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $12,589.25 / $19,952.62	Facility		$10,715.19	$12,589.25	$19,952.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $9,772.37 / $12,022.64	Professional		$4,466.84	$9,772.37	$12,022.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $15,848.93 / $22,908.68	Facility		$4,265.80	$15,848.93	$22,908.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $23,442.29 / $23,442.29 / $25,703.96	Professional		$23,442.29	$23,442.29	$25,703.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,011.87 / $13,489.63	Facility		$3,467.37	$5,011.87	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $19,498.45	Professional		$1,737.80	$2,344.23	$19,498.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $9,120.11 / $12,882.50	Professional		$6,309.57	$9,120.11	$12,882.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $18,197.01 / $18,197.01	Facility		$7,762.47	$18,197.01	$18,197.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $19,498.45 / $19,498.45	Professional		$5,623.41	$19,498.45	$19,498.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $8,317.64	Professional		$3,890.45	$3,890.45	$8,317.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $21,379.62 / $25,703.96	Professional		$3,890.45	$21,379.62	$25,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,677.35	Facility		$3,090.30	$3,090.30	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $6,456.54	Professional		$1,621.81	$2,344.23	$6,456.54