Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $14,454.40	Facility		$2,398.83	$3,890.45	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $4,897.79	Professional		$1,778.28	$2,398.83	$4,897.79
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 $1,905.46 / $3,715.35 / $10,715.19	Professional		$1,905.46	$3,715.35	$10,715.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $9,120.11	Facility		$4,897.79	$5,754.40	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $6,025.60 / $7,762.47	Professional		$3,090.30	$6,025.60	$7,762.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,244.36 / $13,489.63	Facility		$2,238.72	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $5,888.44	Professional		$4,073.80	$5,011.87	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $9,549.93	Facility		$2,089.30	$3,801.89	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,168.69 / $17,782.79	Professional		$2,398.83	$4,168.69	$17,782.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,754.23	Professional		$32.36	$33.11	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,897.79 / $8,128.31	Professional		$3,467.37	$4,897.79	$8,128.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $58,884.37 / $58,884.37	Facility		$4,897.79	$58,884.37	$58,884.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $9,549.93 / $21,877.62	Professional		$3,311.31	$9,549.93	$21,877.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $13,182.57 / $13,489.63	Professional		$8,511.38	$13,182.57	$13,489.63
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 $2,290.87 / $3,890.45 / $8,709.64	Professional		$2,290.87	$3,890.45	$8,709.64