Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $14,454.40	Facility		$1,659.59	$2,691.53	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,311.31	Professional		$1,202.26	$1,659.59	$3,311.31
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 $1,288.25 / $2,511.89 / $7,244.36	Professional		$1,288.25	$2,511.89	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $6,309.57	Facility		$3,388.44	$3,890.45	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $4,073.80 / $5,248.07	Professional		$2,089.30	$4,073.80	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,244.36 / $13,489.63	Facility		$1,513.56	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $3,981.07	Professional		$2,818.38	$3,467.37	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $9,549.93	Facility		$1,513.56	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $12,022.64	Professional		$1,584.89	$2,818.38	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,905.46	Professional		$32.36	$33.11	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $5,623.41	Professional		$2,398.83	$3,388.44	$5,623.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $39,810.72 / $39,810.72	Facility		$3,388.44	$39,810.72	$39,810.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $6,456.54 / $19,498.45	Professional		$2,238.72	$6,456.54	$19,498.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $9,120.11 / $9,120.11	Professional		$6,025.60	$9,120.11	$9,120.11
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 $1,548.82 / $2,630.27 / $5,888.44	Professional		$1,548.82	$2,630.27	$5,888.44