Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,235.94 / $14,454.40	Facility		$1,548.82	$3,235.94	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $4,365.16	Professional		$1,445.44	$1,621.81	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $8,511.38	Professional		$1,621.81	$3,235.94	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,786.30 / $8,128.31	Facility		$4,168.69	$4,786.30	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $6,456.54 / $7,244.36	Professional		$2,041.74	$6,456.54	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,235.94 / $10,232.93	Facility		$1,548.82	$3,235.94	$10,232.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $4,897.79	Professional		$2,818.38	$3,801.89	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,467.37 / $15,135.61	Facility		$1,584.89	$3,467.37	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $23,988.33	Professional		$1,621.81	$2,818.38	$23,988.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $5,370.32	Professional		$2,290.87	$3,548.13	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $19,054.61 / $27,542.29	Facility		$10,000.00	$19,054.61	$27,542.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $7,762.47 / $23,988.33	Professional		$2,818.38	$7,762.47	$23,988.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $8,912.51 / $10,000.00	Professional		$5,248.07	$8,912.51	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $6,606.93	Professional		$1,584.89	$2,398.83	$6,606.93