Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,548.13 / $14,454.40	Facility		$1,584.89	$3,548.13	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $3,548.13	Professional		$1,584.89	$1,862.09	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $8,912.51	Professional		$1,698.24	$3,311.31	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $8,317.64	Facility		$4,466.84	$5,248.07	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $6,918.31 / $7,762.47	Professional		$2,818.38	$6,918.31	$7,762.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $6,918.31 / $13,489.63	Facility		$1,862.09	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,265.80 / $5,370.32	Professional		$3,090.30	$4,265.80	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $7,943.28	Facility		$1,737.80	$3,388.44	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $15,848.93	Professional		$1,905.46	$3,090.30	$15,848.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,344.23	Professional		$32.36	$33.11	$2,344.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,677.35 / $7,413.10	Professional		$2,398.83	$4,677.35	$7,413.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $25,118.86 / $25,118.86	Facility		$4,466.84	$25,118.86	$25,118.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $8,317.64 / $15,848.93	Professional		$3,162.28	$8,317.64	$15,848.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $12,022.64	Professional		$5,623.41	$10,000.00	$12,022.64
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 $1,698.24 / $2,818.38 / $7,585.78	Professional		$1,698.24	$2,818.38	$7,585.78