Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $14,454.40	Facility		$1,905.46	$3,090.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,890.45	Professional		$1,412.54	$1,905.46	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $14,125.38 / $27,542.29	Facility		$10,000.00	$14,125.38	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $8,317.64	Professional		$1,513.56	$2,884.03	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,466.84 / $7,244.36	Facility		$3,890.45	$4,466.84	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,786.30 / $5,623.41	Professional		$2,454.71	$4,786.30	$5,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,244.36 / $13,489.63	Facility		$1,778.28	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $4,677.35	Professional		$3,235.94	$3,981.07	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $9,549.93	Facility		$1,698.24	$3,311.31	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $11,481.54	Professional		$1,862.09	$3,162.28	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,137.96	Professional		$32.36	$33.11	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $6,456.54	Professional		$2,754.23	$3,890.45	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $19,498.45 / $19,498.45	Facility		$3,890.45	$19,498.45	$19,498.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $7,585.78 / $11,481.54	Professional		$2,630.27	$7,585.78	$11,481.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $10,471.29 / $10,471.29	Professional		$7,079.46	$10,471.29	$10,471.29
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 $1,819.70 / $3,090.30 / $6,918.31	Professional		$1,819.70	$3,090.30	$6,918.31