Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $17,782.79	Facility		$2,754.23	$2,754.23	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,754.23 / $3,019.95	Professional		$1,122.02	$2,754.23	$3,019.95
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 $2,041.74 / $4,168.69 / $12,302.69	Professional		$2,041.74	$4,168.69	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $12,302.69 / $19,498.45	Facility		$10,471.29	$12,302.69	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $12,882.50 / $14,791.08	Professional		$6,456.54	$12,882.50	$14,791.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,943.28 / $14,454.40	Facility		$3,801.89	$7,943.28	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Professional		$11,748.98	$11,748.98	$11,748.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $9,549.93	Facility		$2,570.40	$4,570.88	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $17,378.01	Professional		$2,511.89	$6,606.93	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,677.35 / $6,918.31	Professional		$3,090.30	$4,677.35	$6,918.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $27,542.29	Facility		$5,248.07	$5,248.07	$27,542.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $15,848.93	Professional		$4,265.80	$9,332.54	$15,848.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $20,892.96	Professional		$20,892.96	$20,892.96	$20,892.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $28,840.32 / $28,840.32	Professional		$19,498.45	$28,840.32	$28,840.32
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 $2,089.30 / $5,754.40 / $16,982.44	Professional		$2,089.30	$5,754.40	$16,982.44