Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $14,454.40	Facility		$2,187.76	$3,548.13	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $4,466.84	Professional		$1,621.81	$2,187.76	$4,466.84
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 $1,737.80 / $3,311.31 / $9,549.93	Professional		$1,737.80	$3,311.31	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $8,317.64	Facility		$4,466.84	$5,248.07	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,495.41 / $6,918.31	Professional		$2,818.38	$5,495.41	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,244.36 / $13,489.63	Facility		$2,041.74	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $5,370.32	Professional		$3,715.35	$4,570.88	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $9,549.93	Facility		$1,905.46	$3,548.13	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $15,848.93	Professional		$2,089.30	$3,801.89	$15,848.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,511.89	Professional		$32.36	$33.11	$2,511.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,466.84 / $7,413.10	Professional		$3,162.28	$4,466.84	$7,413.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $53,703.18 / $53,703.18	Facility		$4,466.84	$53,703.18	$53,703.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $8,709.64 / $24,547.09	Professional		$3,019.95	$8,709.64	$24,547.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $12,022.64 / $12,022.64	Professional		$8,317.64	$12,022.64	$12,022.64
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 $2,089.30 / $3,548.13 / $7,943.28	Professional		$2,089.30	$3,548.13	$7,943.28