Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $14,454.40	Facility		$2,951.21	$4,786.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $5,370.32	Professional		$2,238.72	$2,951.21	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $29,512.09	Facility		$13,803.84	$18,620.87	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,570.88 / $13,182.57	Professional		$2,398.83	$4,570.88	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,918.31 / $11,220.18	Facility		$6,025.60	$6,918.31	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $8,511.38	Professional		$4,073.80	$7,413.10	$8,511.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,413.10 / $14,454.40	Facility		$2,754.23	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $7,244.36	Professional		$5,011.87	$6,165.95	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $9,549.93	Facility		$2,344.23	$3,801.89	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,897.79 / $13,182.57	Professional		$2,951.21	$4,897.79	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,888.44 / $10,000.00	Professional		$4,168.69	$5,888.44	$10,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $58,884.37	Facility		$6,025.60	$6,025.60	$58,884.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $11,748.98 / $17,378.01	Professional		$4,073.80	$11,748.98	$17,378.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Professional		$12,302.69	$12,302.69	$12,302.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $16,218.10 / $16,595.87	Professional		$10,471.29	$16,218.10	$16,595.87
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 $2,818.38 / $4,786.30 / $10,715.19	Professional		$2,818.38	$4,786.30	$10,715.19