Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,311.31 / $14,454.40	Facility		$2,041.74	$3,311.31	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $4,168.69	Professional		$1,513.56	$2,041.74	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $21,877.62	Facility		$10,000.00	$13,803.84	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,090.30 / $8,912.51	Professional		$1,621.81	$3,090.30	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,786.30 / $7,762.47	Facility		$4,168.69	$4,786.30	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $5,754.40	Professional		$2,570.40	$5,128.61	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,244.36 / $13,489.63	Facility		$1,905.46	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $5,011.87	Professional		$3,467.37	$4,265.80	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $9,549.93	Facility		$1,778.28	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $14,791.08	Professional		$1,949.84	$3,467.37	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,290.87	Professional		$32.36	$33.11	$2,290.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $6,918.31	Professional		$2,884.03	$4,073.80	$6,918.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $39,810.72 / $39,810.72	Facility		$4,168.69	$39,810.72	$39,810.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $8,128.31 / $16,218.10	Professional		$2,818.38	$8,128.31	$16,218.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $11,220.18 / $11,220.18	Professional		$7,585.78	$11,220.18	$11,220.18
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 / $3,311.31 / $7,413.10	Professional		$1,819.70	$3,311.31	$7,413.10