Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,168.69 / $14,454.40	Facility		$2,570.40	$4,168.69	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $5,128.61	Professional		$1,905.46	$2,570.40	$5,128.61
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 $2,041.74 / $3,890.45 / $11,220.18	Professional		$2,041.74	$3,890.45	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $9,549.93	Facility		$5,128.61	$6,025.60	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,309.57 / $7,413.10	Professional		$3,235.94	$6,309.57	$7,413.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,244.36 / $13,489.63	Facility		$2,344.23	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $6,165.95	Professional		$4,265.80	$5,248.07	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $9,549.93	Facility		$2,187.76	$3,981.07	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $18,620.87	Professional		$2,454.71	$4,466.84	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,951.21	Professional		$32.36	$33.11	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,128.61 / $8,709.64	Professional		$3,630.78	$5,128.61	$8,709.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $61,659.50 / $61,659.50	Facility		$5,128.61	$61,659.50	$61,659.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $10,232.93 / $24,547.09	Professional		$3,467.37	$10,232.93	$24,547.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Professional		$10,471.29	$10,471.29	$10,471.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $14,125.38 / $14,125.38	Professional		$9,772.37	$14,125.38	$14,125.38
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 $2,454.71 / $4,168.69 / $9,332.54	Professional		$2,454.71	$4,168.69	$9,332.54