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 $1,995.26 / $2,691.53 / $5,370.32	Professional		$1,995.26	$2,691.53	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $12,022.64	Professional		$2,137.96	$4,168.69	$12,022.64
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 $3,630.78 / $6,606.93 / $7,585.78	Professional		$3,630.78	$6,606.93	$7,585.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,413.10 / $14,454.40	Facility		$2,454.71	$7,413.10	$14,454.40
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 / $3,801.89 / $9,549.93	Facility		$2,187.76	$3,801.89	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $6,456.54 / $12,882.50	Professional		$2,691.53	$6,456.54	$12,882.50
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 / $5,495.41 / $52,480.75	Facility		$5,495.41	$5,495.41	$52,480.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $10,715.19 / $15,848.93	Professional		$3,630.78	$10,715.19	$15,848.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $14,791.08 / $15,135.61	Professional		$10,232.93	$14,791.08	$15,135.61
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 $2,630.27 / $5,623.41 / $10,000.00	Professional		$2,630.27	$5,623.41	$10,000.00