Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,365.16 / $14,454.40	Facility		$2,691.53	$4,365.16	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $7,585.78	Professional		$1,949.84	$2,691.53	$7,585.78
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 $2,137.96 / $4,073.80 / $11,748.98	Professional		$2,137.96	$4,073.80	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $10,000.00	Facility		$5,370.32	$6,309.57	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $6,606.93 / $8,511.38	Professional		$3,388.44	$6,606.93	$8,511.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,244.36 / $13,489.63	Facility		$2,454.71	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,623.41 / $6,456.54	Professional		$4,466.84	$5,623.41	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,073.80 / $9,549.93	Facility		$2,187.76	$4,073.80	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $19,498.45	Professional		$2,630.27	$4,677.35	$19,498.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,019.95	Professional		$32.36	$33.11	$3,019.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,370.32 / $9,120.11	Professional		$3,801.89	$5,370.32	$9,120.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $64,565.42 / $64,565.42	Facility		$5,495.41	$64,565.42	$64,565.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $10,715.19 / $23,442.29	Professional		$3,630.78	$10,715.19	$23,442.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Professional		$10,964.78	$10,964.78	$10,964.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $14,791.08 / $14,791.08	Professional		$9,549.93	$14,791.08	$14,791.08
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 $2,570.40 / $4,365.16 / $9,772.37	Professional		$2,570.40	$4,365.16	$9,772.37