Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,760.83 / $14,454.40	Facility		$3,981.07	$6,760.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $8,511.38	Professional		$3,090.30	$3,981.07	$8,511.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $6,309.57 / $16,218.10	Professional		$3,311.31	$6,309.57	$16,218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $9,772.37 / $15,848.93	Facility		$8,511.38	$9,772.37	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $10,232.93 / $11,748.98	Professional		$5,248.07	$10,232.93	$11,748.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,244.36 / $13,489.63	Facility		$3,162.28	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $8,128.31 / $10,000.00	Professional		$5,888.44	$8,128.31	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $7,943.28	Facility		$2,454.71	$3,981.07	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,754.40 / $25,118.86	Professional		$2,884.03	$5,754.40	$25,118.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $4,570.88	Professional		$32.36	$33.11	$4,570.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $8,317.64 / $13,489.63	Professional		$4,265.80	$8,317.64	$13,489.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $61,659.50 / $61,659.50	Facility		$8,511.38	$61,659.50	$61,659.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $16,595.87 / $24,547.09	Professional		$5,754.40	$16,595.87	$24,547.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Professional		$8,128.31	$8,128.31	$8,128.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $18,197.01 / $19,498.45	Professional		$7,762.47	$18,197.01	$19,498.45
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 $2,951.21 / $5,248.07 / $14,454.40	Professional		$2,951.21	$5,248.07	$14,454.40