Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $3,019.95	Professional		$2,454.71	$2,818.38	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,549.93 / $9,772.37	Facility		$7,585.78	$9,549.93	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $12,302.69	Professional		$977.24	$1,148.15	$12,302.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $11,220.18 / $18,197.01	Facility		$9,772.37	$11,220.18	$18,197.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $10,964.78	Professional		$4,073.80	$5,011.87	$10,964.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $12,302.69 / $20,417.38	Facility		$2,691.53	$12,302.69	$20,417.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $16,595.87	Facility		$1,862.09	$3,311.31	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $6,309.57	Professional		$1,778.28	$2,089.30	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $5,248.07	Professional		$54.95	$64.57	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $8,317.64 / $11,748.98	Professional		$3,981.07	$8,317.64	$11,748.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $16,595.87	Facility		$7,079.46	$7,079.46	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $19,054.61 / $26,915.35	Professional		$10,232.93	$19,054.61	$26,915.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $4,265.80	Facility		$2,818.38	$2,818.38	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $6,760.83	Professional		$1,479.11	$2,089.30	$6,760.83