Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $14,454.40	Facility		$2,344.23	$3,801.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $4,677.35	Professional		$1,698.24	$2,344.23	$4,677.35
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 $1,819.70 / $3,548.13 / $10,232.93	Professional		$1,819.70	$3,548.13	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $8,709.64	Facility		$4,677.35	$5,495.41	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $7,413.10	Professional		$2,951.21	$5,754.40	$7,413.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,244.36 / $13,489.63	Facility		$2,137.96	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $5,623.41	Professional		$3,890.45	$4,897.79	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $9,549.93	Facility		$1,995.26	$3,630.78	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $16,595.87	Professional		$2,187.76	$3,981.07	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,691.53	Professional		$32.36	$33.11	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,677.35 / $7,943.28	Professional		$3,311.31	$4,677.35	$7,943.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $56,234.13 / $56,234.13	Facility		$4,677.35	$56,234.13	$56,234.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $9,120.11 / $25,703.96	Professional		$3,162.28	$9,120.11	$25,703.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional		$9,549.93	$9,549.93	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $12,589.25 / $12,882.50	Professional		$8,912.51	$12,589.25	$12,882.50
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 $2,187.76 / $3,715.35 / $8,317.64	Professional		$2,187.76	$3,715.35	$8,317.64