Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,754.40 / $14,454.40	Facility		$3,467.37	$5,754.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $7,244.36	Professional		$2,691.53	$3,467.37	$7,244.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $28,840.32	Facility		$12,882.50	$18,197.01	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,495.41 / $14,125.38	Professional		$2,884.03	$5,495.41	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,511.38 / $13,489.63	Facility		$7,244.36	$8,511.38	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $8,912.51 / $10,000.00	Professional		$4,570.88	$8,912.51	$10,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $6,918.31 / $13,489.63	Facility		$3,090.30	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,079.46 / $8,709.64	Professional		$5,011.87	$7,079.46	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,981.07 / $7,943.28	Facility		$2,570.40	$3,981.07	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $21,379.62	Professional		$2,818.38	$5,011.87	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,981.07	Professional		$32.36	$33.11	$3,981.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $7,079.46 / $11,481.54	Professional		$3,715.35	$7,079.46	$11,481.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $63,095.73 / $63,095.73	Facility		$7,244.36	$63,095.73	$63,095.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $14,125.38 / $20,892.96	Professional		$4,897.79	$14,125.38	$20,892.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $15,848.93 / $16,982.44	Professional		$6,606.93	$15,848.93	$16,982.44
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 $2,818.38 / $4,466.84 / $12,589.25	Professional		$2,818.38	$4,466.84	$12,589.25