Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,549.93 / $16,982.44	Facility		$5,128.61	$9,549.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $9,549.93	Professional		$4,466.84	$5,370.32	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $8,709.64 / $22,908.68	Professional		$4,677.35	$8,709.64	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $13,803.84 / $21,877.62	Facility		$11,748.98	$13,803.84	$21,877.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $10,471.29 / $19,498.45	Professional		$5,011.87	$10,471.29	$19,498.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,888.44 / $10,000.00	Facility		$4,168.69	$5,888.44	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $10,000.00 / $16,218.10	Professional		$7,943.28	$10,000.00	$16,218.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $9,549.93	Facility		$2,818.38	$5,370.32	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $8,317.64 / $35,481.34	Professional		$4,168.69	$8,317.64	$35,481.34
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 $5,888.44 / $10,715.19 / $16,595.87	Professional		$5,888.44	$10,715.19	$16,595.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $87,096.36 / $87,096.36	Facility		$11,748.98	$87,096.36	$87,096.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $23,442.29 / $33,884.42	Professional		$4,897.79	$23,442.29	$33,884.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Professional		$16,982.44	$16,982.44	$16,982.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $19,952.62 / $23,442.29	Professional		$15,848.93	$19,952.62	$23,442.29
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 $4,073.80 / $6,760.83 / $18,197.01	Professional		$4,073.80	$6,760.83	$18,197.01