Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $14,454.40	Facility		$2,398.83	$3,890.45	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $4,897.79	Professional		$1,819.70	$2,398.83	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $10,964.78	Professional		$1,905.46	$3,715.35	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,623.41 / $9,120.11	Facility		$4,897.79	$5,623.41	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $6,025.60 / $6,918.31	Professional		$3,162.28	$6,025.60	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,413.10 / $14,454.40	Facility		$2,238.72	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $5,888.44	Professional		$4,073.80	$5,011.87	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,715.35 / $9,549.93	Facility		$2,089.30	$3,715.35	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $10,964.78	Professional		$2,398.83	$4,365.16	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,786.30 / $8,128.31	Professional		$3,388.44	$4,786.30	$8,128.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $36,307.81	Facility		$4,897.79	$4,897.79	$36,307.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $9,549.93 / $20,892.96	Professional		$3,311.31	$9,549.93	$20,892.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $13,182.57 / $13,489.63	Professional		$10,000.00	$13,182.57	$13,489.63
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 $2,344.23 / $4,073.80 / $8,709.64	Professional		$2,344.23	$4,073.80	$8,709.64